Presbyterian Hospitality House in Fairbanks - Residential Treatment Facility, Emotionally Disturbed Children
Presbyterian Hospitality House - NPI 1629299441
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 1629299441. 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. 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 | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXCUTIVE D |
|---|---|
| Authorized Official Name | Tigner Drenda |
| Telephone Number | 9074566445 |
NPI Number Detail
| NPI Number | 1629299441 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| 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 |
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 | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Presbyterian Hospitality House by the Centers for Medicare & Medicaid Services (CMS)?
The Presbyterian Hospitality House has been assigned the NPI (National Provider Identifier) 1629299441. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Presbyterian Hospitality House is physically located?
The Presbyterian Hospitality House is physically situated at the following address: 209 Forty Mile Ave, Fairbanks, AK, 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.
When did Presbyterian Hospitality House receive its 1629299441 assignment?
The Presbyterian Hospitality House was assigned its 1629299441 on 2007-05-01, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Presbyterian Hospitality House, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Presbyterian Hospitality House, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-11-01.
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