Breast Cancer Detection Center Of Alaska And Charitable Corporation in Fairbanks - Radiology, Mobile Mammography
Breast Cancer Detection Center Of Alaska And Charitable Corporation - NPI 1487707790
Breast Cancer Detection Center Of Alaska And Charitable Corporation is a Radiology, Mobile Mammography in Fairbanks, Alaska. Breast Cancer Detection Center Of Alaska And Charitable Corporation practices all healthcare services and medical treatments related to Radiology, Mobile Mammography. The NPI Number for Breast Cancer Detection Center Of Alaska And Charitable Corporation is 1487707790. The last update date is 2013-10-08.
Breast Cancer Detection Center Of Alaska And Charitable Corporation's current location address is 1905 Cowles St, Fairbanks, Alaska. You can contact this provider via phone number 9074793909 and fax number 9074792215. The mailing address for Breast Cancer Detection Center Of Alaska And Charitable Corporation is 1905 Cowles St, Fairbanks, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Breast Cancer Detection Center Of Alaska And Charitable Corporation |
|---|---|
| Address | 1905 Cowles St, Fairbanks, Alaska |
| Phone Number | 9074793909 |
| Fax Number | 9074792215 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Butler Odette |
| Telephone Number | 9074793909 |
NPI Number Detail
| NPI Number | 1487707790 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2013-10-08 |
Provider Mailing Address Detail
| Address | 1905 Cowles St |
|---|---|
| City | Fairbanks |
| State | Alaska (AK) |
| Post Code | 997015914 |
| Phone Number | 9074793909 |
| Fax Number | 9074792215 |
Provider's Primary Taxonomy Detail
| Speciality | Radiology, Mobile Mammography |
|---|---|
| Taxonomy | 261Qr0207X |
| Licence No | 235774 |
|
Definition: Provides breast cancer screening at remote locations using self-contained mammography vans. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| XR5382 | AK | -- | |
| 149193 | AK | BLUE CROSS |
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What is the Breast Cancer Detection Center Of Alaska And Charitable Corporation's 1487707790?
The Breast Cancer Detection Center Of Alaska And Charitable Corporation's NPI (National Provider Identifier) Number is 1487707790. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Breast Cancer Detection Center Of Alaska And Charitable Corporation located?
The Breast Cancer Detection Center Of Alaska And Charitable Corporation is located at 1905 Cowles St, Fairbanks, AK 997015914.
What is Breast Cancer Detection Center Of Alaska And Charitable Corporation's specialized field of practice, and what is the corresponding taxonomy classification code?
The Breast Cancer Detection Center Of Alaska And Charitable Corporation's area of specialization is Radiology, Mobile Mammography, and the corresponding taxonomy code that categorizes this field of practice is 261Qr0207X.
When did Breast Cancer Detection Center Of Alaska And Charitable Corporation receive its 1487707790 assignment?
The Breast Cancer Detection Center Of Alaska And Charitable Corporation was assigned its 1487707790 on 2007-01-19, which is the date when this unique identifier was issued to the organization.
As of what date were the Breast Cancer Detection Center Of Alaska And Charitable Corporation's details last updated?
The information pertaining to the Breast Cancer Detection Center Of Alaska And Charitable Corporation, including its address, specialty, and other details, was most recently updated on 2013-10-08.
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