Ralph Perdue Center

LBN: Fairbanks Native Association
Ralph Perdue Center is an health care organization with primary practice located at 3100 S Cushman St , Fairbanks AK 99701-7516. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Fairbanks Native Association can be contacted via phone (907) 452-6251, or through Patterson, Guy M via phone (907) 452-6251.

Contact Information

Primary practice address
3100 S Cushman St Fairbanks AK 99701-7516
Phone: (907) 452-6251
Fax: (907) 456-4849
Website:
Map and Directions
Authorized official contact:
Name: Patterson, Guy M
Phone: (907) 452-6251

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 76821 Alaska

Profile Details

NPI number 1154594216
LBN Legal business name Fairbanks Native Association
DBA Doing business as Ralph Perdue Center
Authorized official Patterson, Guy M
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2008
Last updated Apr 10th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154594216 NPPES
Alaska MEDICAID DA4435

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