Organization
FAIRBANKS COMMUNITY MENTAL HEALTH SERVICES
Active
Organization
FAIRBANKS COMMUNITY MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY EVENSON (BILLING MANAGER)
(907) 261-5317
Entity
Organization
Contact information
Practice address
926 ASPEN ST, FAIRBANKS, AK 99709-5501
(907) 371-1300
Mailing address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 563-1000
(907) 375-3142
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1596091
—
AK
Enumeration date
02/03/2021
Last updated
02/03/2021
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