# BREAST CANCER DETECTION CENTER OF ALASKA AND CHARITABLE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BCDC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487707790
- **Authorized official:** MRS. ODETTE BUTLER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (907) 479-3909

## Contact information

- **Practice address:** 1905 COWLES ST, FAIRBANKS, AK 99701-5914
- **Practice address phone:** (907) 479-3909
- **Practice address fax:** (907) 479-2215
- **Mailing address:** 1905 COWLES ST, FAIRBANKS, AK 99701-5914
- **Mailing address phone:** (907) 479-3909
- **Mailing address fax:** (907) 479-2215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0206X | Mammography Clinic/Center | 235774 | AK | Yes |
| 261QR0207X | Mobile Mammography Clinic/Center | 235774 | AK | — |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 10/08/2013