Organization Name: | UNIVERSITY OF ALASKA FAIRBANKS CENTER FOR HEALTH & COUNSELING |
NPI Number: | 1043358062 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN FELLERATH (DIRECTOR) |
Mailing Address: | 612 N. Chandalar Dr. Fairbanks |
State: | AK US |
Postal Code: | 997755580 |
Phone Number: | 9074747043 |
Fax Number: | 9074745777 |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Student Health |
Taxonomy Definition: |