Presbyterian Hospitality House in Fairbanks - Residential Treatment Facility, Emotionally Disturbed Children
Presbyterian Hospitality House - NPI 1962619643
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 1962619643. The last update date is 2022-07-21.
Presbyterian Hospitality House's current location address is 209 Forty Mile Ave Ste 100, 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 Ste 100, Fairbanks, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Presbyterian Hospitality House |
|---|---|
| Address | 209 Forty Mile Ave Ste 100, 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 | 1962619643 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 209 Forty Mile Ave Ste 100 |
|---|---|
| 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MH2770 | AK | -- | |
| BR-0024 | AK | BR NUMBER |
Post Comment/ Review Below
What is the Presbyterian Hospitality House's unique identification number?
The Presbyterian Hospitality House has been assigned the NPI (National Provider Identifier) Number 1962619643 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Presbyterian Hospitality House?
The Presbyterian Hospitality House is physically situated at 209 Forty Mile Ave Ste 100, in the city of Fairbanks, state of AK, with the postal code 997013110.
What is the area of specialization for Presbyterian Hospitality House, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Presbyterian Hospitality House is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of expertise is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962619643 to Presbyterian Hospitality House?
The Centers for Medicare & Medicaid Services assigned the 1962619643 to Presbyterian Hospitality House on 2007-05-16.
When was the Presbyterian Hospitality House's information last updated?
The Presbyterian Hospitality House's information was last updated on 2022-07-21.
NPI Number: 1649248733
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