JACY1 DBA ANCHORAGE – NPI #1508044975
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

JACY1 DBA ANCHORAGE is a substance abuse rehabilitation facility located in MOORHEAD, MN. NPPES has assigned the NPI number 1508044975 to JACY1 DBA ANCHORAGE on February 07, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

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 JACY1 DBA ANCHORAGE below.

NPI Profile for
JACY1 DBA ANCHORAGE

NPI Number
1508044975
Enumeration Date

(more than 18 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
JACY1 DBA ANCHORAGE
Primary location
810 4TH ST S
SUITE 152
MOORHEAD, MN 56560
Phone: (218) 287-1500 Fax: (218) 287-1267
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LAURIE RAY
PROGRAM DIRECTOR
Phone: (218) 287-1500
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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 MN 1044799

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.