FAIRBANKS NATIVE ASSOCIATION (NPI# 1386817237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386817237 |
| Entity Type | Organization |
| Organization Name | FAIRBANKS NATIVE ASSOCIATION |
| Other Organization Name | GRAF RHEENEERHAANJII |
| Practice Address |
2550 Lawlor Rd Fairbanks AK 99709-6458 |
| Mailing Address |
315 Wendell Ave Fairbanks AK 99701-4837 |
| Practice Telephone | 9074554725 |
| Practice Fax Number | 9074554730 |
| Mailing Telephone | 9074526251 |
| Mailing Fax Number | 9074521001 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2019-11-08 |
| Authorized Official Name | PERRY ASHOGEAK (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Telephone | 9074526251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 76821 | AK | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1696801 | 05 |
| Other Name | Type Code |
|---|---|
| Graf Rheeneerhaanjii | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508401381 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 3100 S Cushman St, Fairbanks, AK 99701-7516 | 2019-11-15 |
| 1134764913 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 650 Younker Ct, Fairbanks, AK 99701-7586 | 2019-11-15 |
| 1154594216 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 3100 S Cushman St, Fairbanks, AK 99701-7516 | 2008-04-10 |
| 1578736211 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 1027 Evergreen St, Fairbanks, AK 99709-4306 | 2008-04-02 |
| 1982876629 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2008-04-01 |
| 1184835449 | Fairbanks Native Association | Community/Behavioral Health | 3100 S Cushman St, Fairbanks, AK 99701-7516 | 2007-05-25 |
| Street Address |
2550 LAWLOR RD |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-6458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467654756 | Eric Schaetzle | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2007-05-31 |
| 1225648249 | Erin Olson | Recreation Therapist | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2020-08-04 |
| 1205459393 | Debra Vance | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2020-05-22 |
| 1871130567 | David Roy Fonger Jr. | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2019-12-02 |
| 1104478874 | Rita Eaglehead | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2019-07-12 |
| 1619529674 | Yvette Curtis | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2019-07-10 |
| 1124670377 | Caroline Elizabeth Ramos | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2019-07-09 |
| 1154973212 | Madeline Mary Derepentigny | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2019-07-09 |
| 1598317786 | Wendy Jean Reger | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2019-07-09 |
| 1982876629 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508393869 | Ground Zero Wellness Center | Substance Abuse Rehabilitation Facility | 4670 Killen Ln, Fairbanks, AK 99709-3325 | 2017-05-17 |
| 1508401381 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 3100 S Cushman St, Fairbanks, AK 99701-7516 | 2019-11-15 |
| 1134764913 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 650 Younker Ct, Fairbanks, AK 99701-7586 | 2019-11-15 |
| 1790236578 | North Country Medical, LLC | Substance Abuse Rehabilitation Facility | 626 2nd St, Suite 201b, Fairbanks, AK 99701-3466 | 2016-10-17 |
| 1275897548 | Steven Ketzler | Substance Abuse Rehabilitation Facility | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2012-07-01 |
| 1013205608 | Tanana Chiefs Conference | Substance Abuse Rehabilitation Facility | 201 1st Ave, Fairbanks, AK 99701-4848 | 2011-07-15 |
| 1154594216 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 3100 S Cushman St, Fairbanks, AK 99701-7516 | 2008-04-10 |
| 1982877353 | Old Minto Family Recovery Camp | Substance Abuse Rehabilitation Facility | 122 1st Ave, Fairbanks, AK 99701-4803 | 2008-04-08 |
| 1578736211 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 1027 Evergreen St, Fairbanks, AK 99709-4306 | 2008-04-02 |
| 1982876629 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2008-04-01 |
| Find all providers in FAIRBANKS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.