NPIMap

Organization Active NPI

Fairbanks Resource Agency

  • Case Management Agency
  • Fairbanks, AK
National Provider Identifier
1699003277
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
CM2000 Issued in AK
Legal business name
FAIRBANKS RESOURCE AGENCY
Practice address
117 Slater Dr
Fairbanks, AK 99701-3427
Phone
(907) 451-0389
Fax
(907) 451-0210
NPI assigned
Nov 19, 2009
Last updated
Nov 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Mrs. Teresa Ward, MSWNPI 1962691634
Title
Director Senior Services
Phone
(907) 451-0389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X CM2000 AK Primary

Addresses

Primary practice location

117 Slater Dr
Fairbanks, AK 99701-3427

Mailing address

805 Airport Way
Fairbanks, AK 99701-6039
Phone (907) 456-8901

National Provider Directory

National Provider Directory
Tax ID family
Fairbanks Resource Agency Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

117 Slater Dr
Fairbanks, AK 99701
Phone (907) 451-0389

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1699003277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 AIRPORT WAY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016039",
            "telephone_number": "907-456-8901",
            "fax_number": "907-452-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SLATER DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013427",
            "telephone_number": "907-451-0389",
            "fax_number": "907-451-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRBANKS RESOURCE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "DIRECTOR SENIOR SERVICES",
        "authorized_official_telephone_number": "907-451-0389",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": "CM2000",
            "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 Nov 19, 2009; 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.