Anchorage

LBN: Jacy 1
Anchorage is an health care organization with primary practice located at 600 25Th Ave S Ste 105 , Saint Cloud MN 56301-4820. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Jacy 1 can be contacted via phone (320) 255-9530, or through Litke, Laura Lee via phone (320) 255-9530.

Contact Information

Primary practice address
600 25Th Ave S Ste 105 Saint Cloud MN 56301-4820
Phone: (320) 255-9530
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Litke, Laura Lee
Phone: (320) 255-9530

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 10447991CDT Minnesota

Profile Details

NPI number 1982879912
LBN Legal business name Jacy 1
DBA Doing business as Anchorage
Authorized official Litke, Laura Lee
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2008
Last updated Apr 30th, 2008 - about 16 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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