Fairbanks Resource Agency Inc

LBN: Fairbanks Resource Agency Inc
Fairbanks Resource Agency Inc is an health care organization with primary practice located at 805 Airport Road , Fairbanks AK 99701. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Fairbanks Resource Agency Inc can be contacted via phone (907) 456-8901, or through Ennis, Emily Faye via phone (907) 456-8901.

Contact Information

Primary practice address
805 Airport Road Fairbanks AK 99701
Phone: (907) 456-8901
Fax: (907) 452-5171
Website:
Map and Directions
Authorized official contact:
Name: Ennis, Emily Faye
Phone: (907) 456-8901

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1912079088
LBN Legal business name Fairbanks Resource Agency Inc
DBA Doing business as
Authorized official Ennis, Emily Faye
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1912079088 NPPES
Alaska MEDICAID HC5250

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