Presbyterian Hospitality House in Fairbanks - Residential Treatment Facility, Emotionally Disturbed Children

Presbyterian Hospitality House - NPI 1871624536

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 1871624536. The last update date is 2012-11-01.

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 M Drenda
Telephone Number 9074566445

NPI Number Detail

NPI Number 1871624536
Provider Enumeration Date 2007-03-07
Last Updated Date 2012-11-01

Provider Mailing Address Detail

Address 209 Forty Mile Ave
City Fairbanks
State Alaska (AK)
Post Code 997013110
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MH2770 AK --

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FAQs about Presbyterian Hospitality House

What is the unique 10-digit identification 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) 1871624536 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier 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, 997013110.

What is Presbyterian Hospitality House's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Presbyterian Hospitality House is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy classification code for this specialized field is 322D00000X.

When did the Presbyterian Hospitality House receive its 1871624536?

The Presbyterian Hospitality House was issued its 1871624536 on 2007-03-07, which is the date when the organization was assigned this unique identifier.

When was the information regarding Presbyterian Hospitality House most recently updated?

The details pertaining to the Presbyterian Hospitality House, including its address, specialty, and other relevant information, were last refreshed on 2012-11-01.

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