Presbyterian Hospitality House in Fairbanks - Residential Treatment Facility, Emotionally Disturbed Children
Presbyterian Hospitality House - NPI 1609097476
Presbyterian Hospitality House is a Residential Treatment Facility, Emotionally Disturbed Children in Fairbanks, Alaska. Presbyterian Hospitality House practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Presbyterian Hospitality House is 1609097476. The last update date is 2022-07-21.
Presbyterian Hospitality House's current location address is 209 Forty Mile Ave, Fairbanks, Alaska. You can contact this provider via phone number 9074566445 and fax number 9074566402. The mailing address for Presbyterian Hospitality House is 209 Forty Mile Ave, Fairbanks, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Presbyterian Hospitality House |
|---|---|
| Address | 209 Forty Mile Ave, Fairbanks, Alaska |
| Phone Number | 9074566445 |
| Fax Number | 9074566402 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXCUTIVE D |
|---|---|
| Authorized Official Name | Tigner Drenda |
| Credentials | MA |
| Telephone Number | 9074566445 |
NPI Number Detail
| NPI Number | 1609097476 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 209 Forty Mile Ave |
|---|---|
| City | Fairbanks |
| State | Alaska (AK) |
| Post Code | 99701 |
| Phone Number | 9074566445 |
| Fax Number | 9074566402 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MH2770 | AK | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Presbyterian Hospitality House by the Centers for Medicare & Medicaid Services?
The Presbyterian Hospitality House has been assigned the NPI (National Provider Identifier) 1609097476 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Presbyterian Hospitality House's facilities are situated?
The facilities of Presbyterian Hospitality House are physically located at the following address: 209 Forty Mile Ave, Fairbanks, AK, 99701.
What is Presbyterian Hospitality House's specialized field of practice, and what is the corresponding taxonomy classification code?
The Presbyterian Hospitality House's area of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this field of practice is 322D00000X.
On what date was the 1609097476 assigned to Presbyterian Hospitality House?
The Presbyterian Hospitality House was issued its 1609097476 on 2007-05-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Presbyterian Hospitality House most recently updated or refreshed?
The details pertaining to the Presbyterian Hospitality House, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.
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