NPIMap

Organization Active NPI

Fairbanks Native Association

  • Substance Abuse Rehabilitation Facility
  • Fairbanks, AK
National Provider Identifier
1447847934
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FAIRBANKS NATIVE ASSOCIATION
Practice address
714 4TH Ave
Fairbanks, AK 99701-4470
Phone
(907) 452-6251
NPI assigned
Dec 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenda Fonger
Title
Billing Compliance Director
Phone
(907) 452-6251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

714 4TH Ave
Fairbanks, AK 99701-4470

Mailing address

315 Wendell Ave
Fairbanks, AK 99701-4837
Phone (907) 452-6251

National Provider Directory

National Provider Directory
Tax ID family
Fairbanks Native Association6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

714 4th Ave
Fairbanks, AK 99701
Phone (907) 452-6251

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1447847934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WENDELL AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014837",
            "telephone_number": "907-452-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 4TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014470",
            "telephone_number": "907-452-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRBANKS NATIVE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "FONGER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "BILLING COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "907-452-6251"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.