Fairbanks Community Mental Health Services, LLC

NPI #1023445871 in Fairbanks, Alaska

Provider Information

NPI Number: 1023445871
Entity Type: Organization
Organization Name: Fairbanks Community Mental Health Services, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES, INC.
Primary Specialty: Community/Behavioral Health
Enumeration Date: Oct 10, 2013
Last Updated: Feb 3, 2021

Practice Location

Address: 3830 S CUSHMAN ST
City: Fairbanks
State: Alaska
ZIP Code: 99701-7530
Phone: (907) 452-1575

Authorized Official

Name: MS. DARCIE M SHAFFER, BAS, CPC
Title: MEDICAL BILLING MANAGER
Phone: (907) 563-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Community/Behavioral Health	251S00000X	Primary

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