Granvile Home

LBN: Presbyterian Hospitality House
Granvile Home is an health care organization with primary practice located at 1145 W Granville St , Palmer AK 99645-7118. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Presbyterian Hospitality House can be contacted via phone (907) 456-6445, or through Tigner, Drenda M via phone (907) 456-6445.

Contact Information

Primary practice address
1145 W Granville St Palmer AK 99645-7118
Phone: (907) 456-6445
Fax: (907) 456-6402
Website:
Map and Directions
Authorized official contact:
Name: Tigner, Drenda M B.A. , M.A.
Phone: (907) 456-6445

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 1639 Alaska

Profile Details

NPI number 1598013096
LBN Legal business name Presbyterian Hospitality House
DBA Doing business as Granvile Home
Authorized official Tigner, Drenda M B.A. , M.A.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2012
Last updated Nov 1st, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598013096 NPPES
Alaska MEDICAID MH2770

Popular Providers