| Fairbanks Community Mental Health Services | |
|
926 Aspen St Fairbanks AK 99709-5501 | |
| (907) 371-1300 | |
| Not Available |
| Full Name | Fairbanks Community Mental Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 926 Aspen St, Fairbanks, Alaska |
| Authorized Official Name and Position | Ashley Evenson (BILLING MANAGER) |
| Authorized Official Contact | 9072615317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairbanks Community Mental Health Services 4020 Folker St Anchorage AK 99508-5321 Ph: (907) 563-1000 | Fairbanks Community Mental Health Services 926 Aspen St Fairbanks AK 99709-5501 Ph: (907) 371-1300 |
| NPI Number | 1790377588 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 02/03/2021 |
| Certification Date | 02/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790377588 | NPI | - | NPPES |
| 1596091 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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