PRESBYTERIAN HOSPITALITY HOUSE – NPI #1275754012
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

PRESBYTERIAN HOSPITALITY HOUSE is a residential treatment facility located in FAIRBANKS, AK. NPPES has assigned the NPI number 1275754012 to PRESBYTERIAN HOSPITALITY HOUSE on May 01, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. PRESBYTERIAN HOSPITALITY HOUSE is also known by the name BOYS FARM. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 14 years ago on Nov 05, 2012. 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 PRESBYTERIAN HOSPITALITY HOUSE below.

NPI Profile for
PRESBYTERIAN HOSPITALITY HOUSE

NPI Number
1275754012
Enumeration Date

(more than 19 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
PRESBYTERIAN HOSPITALITY HOUSE
Other Name: BOYS FARM
Primary location
7609 CHENA HOT SPRINGS RD
FAIRBANKS, AK 99712
Phone: (907) 456-6446 Fax: (907) 456-6402
Mailing address
209 FORTY MILE AVE
FAIRBANKS, AK 99701-3110
Phone: (907) 456-6446 Fax: (907) 456-6402
Organization Subpart
No
Authorized Official
DRENDA TIGNER
EXCUTIVE DIRECTOR
Phone: (907) 456-6445
Updated
Identifiers

Identifiers for PRESBYTERIAN HOSPITALITY HOUSE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAKMH2770
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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
AK

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.