FANCY MOOSE ANCHORAGE ALH – NPI #1265854186
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Physical Disabilities

FANCY MOOSE ANCHORAGE ALH is a residential treatment facility (RTF) located in ANCHORAGE, AK. NPPES has assigned the NPI number 1265854186 to FANCY MOOSE ANCHORAGE ALH on January 12, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320700000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Physical Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FANCY MOOSE ANCHORAGE ALH below.

NPI Profile for
FANCY MOOSE ANCHORAGE ALH

NPI Number
1265854186
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FANCY MOOSE ANCHORAGE ALH
Primary location
705 W 47TH AVE
ANCHORAGE, AK 99503-7111
Phone: (907) 699-8581 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MATTHEW DOBBS
ADMINISTRATOR
Phone: (907) 699-8581
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320700000X
- Residential Treatment Facility, Physical Disabilities (Primary)		 AK 101034

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.