Organization
FAIRBANKS COMMUNITY MENTAL HEALTH SERVICES, LLC
Active
Parent organization
ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES, INC.
Other names
FCMHS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES, INC.
Authorized official
MS. DARCIE M SHAFFER BAS, CPC (MEDICAL BILLING MANAGER)
(907) 563-1000
Entity
Organization
Contact information
Practice address
3830 S CUSHMAN ST, FAIRBANKS, AK 99701-7530
(907) 452-1575
(907) 455-5287
Mailing address
1423 PEGER RD, FAIRBANKS, AK 99709-5169
(907) 371-1300
(907) 371-1386
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1596091
—
AK
Enumeration date
10/10/2013
Last updated
02/03/2021
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