Residential Youth Care Inc

LBN: Residential Youth Care Inc
Residential Youth Care Inc is an health care organization with primary practice located at 2514 1St Ave , Ketchikan AK 99901-5804. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Residential Youth Care Inc can be contacted via phone (907) 225-4664, or through Duckworth, Jack via phone (907) 225-4664.

Contact Information

Primary practice address
2514 1St Ave Ketchikan AK 99901-5804
Phone: (907) 225-4664
Fax: (907) 247-4664
Website:
Map and Directions
Authorized official contact:
Name: Duckworth, Jack
Phone: (907) 225-4664

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Alaska
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X Alaska

Profile Details

NPI number 1306909197
LBN Legal business name Residential Youth Care Inc
DBA Doing business as
Authorized official Duckworth, Jack
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Apr 23rd, 2009 - about 15 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 1306909197 NPPES
Alaska MEDICAID BR00121
Alaska MEDICAID BR0012
Alaska MEDICAID MH9201

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