NPIMap

Organization Active NPI

Interior AIDS Association

  • Community/Behavioral Health Agency
  • Fairbanks, AK
National Provider Identifier
1881713261
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
301795 Issued in AK
Legal business name
INTERIOR AIDS ASSOCIATION
Practice address
710 3Rd Ave
Fairbanks, AK 99701-4455
Phone
(907) 452-4222
Fax
(907) 452-8176
NPI assigned
Mar 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anna E Nelson
Title
Executive Director
Phone
(907) 452-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 301795 AK Primary

Addresses

Primary practice location

710 3Rd Ave
Fairbanks, AK 99701-4455

Mailing address

PO Box 71248
Fairbanks, AK 99707-1248
Phone (907) 452-4222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200219001650 AK Part B Supplier - Opioid Treatment Program (Otp) 1557798204 Practice locations: Fairbanks, AK

National Provider Directory

National Provider Directory

Locations

710 3rd Ave
Fairbanks, AK 99701
Phone (907) 452-2222

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881713261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71248",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997071248",
            "telephone_number": "907-452-4222",
            "fax_number": "907-452-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 3RD AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014455",
            "telephone_number": "907-452-4222",
            "fax_number": "907-452-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIOR AIDS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-452-4222"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AK",
            "license": "301795",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.