Breast Cancer Detection Center of Alaska (BCDC)

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

235774 Issued in AK

Legal business name

BREAST CANCER DETECTION CENTER OF ALASKA (BCDC)

Practice address

1905 Cowles St
Fairbanks, AK 99701-5914

Phone

(907) 479-3909

Fax

(907) 479-2215

NPI assigned

Aug 8, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Odette Butler, Executive Director

Title

Executive Director

Phone

(907) 479-3909

Specialties & licenses 1

Addresses

Tax ID family

BCDC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Breast Cancer Detection Center of Alaska and Charitable Corporation

  • Mammography Clinic/Center
  • Fairbanks, AK
  • NPI 1487707790
  NPD tax ID

Locations

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1528490802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015914",
            "telephone_number": "907-479-3909",
            "fax_number": "907-479-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015914",
            "telephone_number": "907-479-3909",
            "fax_number": "907-479-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST CANCER DETECTION CENTER OF ALASKA (BCDC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "DIRECTOR",
        "authorized_official_first_name": "ODETTE",
        "authorized_official_middle_name": "BUTLER, EXECUTIVE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-479-3909",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "AK",
            "license": "235774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naja Brandt
• Jason Brantley
• Dawn Brashear, LPC
• Shelby A Braun, MS, RDN, LD
• Melanie Bray, LMT
• Breast Cancer Detection Center of Alaska and Charitable Corporation
• Georgiana Brennen
• Breanna Lee Brent
• Kenneth D Brewer, RDN
• Stormi Brewer, LMSW

• Voluntary or Charitable Agency in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Voluntary or Charitable Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.