Fairbanks Community Mental Health Services, Llc

LBN: Fairbanks Community Mental Health Services, Llc
Fairbanks Community Mental Health Services, Llc is an health care organization with primary practice located at 1521 Hilton Ave , Fairbanks AK 99701-4015. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Fairbanks Community Mental Health Services, Llc can be contacted via phone (907) 563-1000, or through Evenson, Ashley via phone (907) 261-5317.

Contact Information

Primary practice address
1521 Hilton Ave Fairbanks AK 99701-4015
Phone: (907) 563-1000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evenson, Ashley
Phone: (907) 261-5317

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1396417325
LBN Legal business name Fairbanks Community Mental Health Services, Llc
DBA Doing business as
Authorized official Evenson, Ashley
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2021
Last updated Sep 28th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396417325 NPPES
Alaska MEDICAID 1598661

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