ANCHORAGE – NPI #1982879912
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

ANCHORAGE is a substance abuse rehabilitation facility located in SAINT CLOUD, MN. NPPES has assigned the NPI number 1982879912 to ANCHORAGE on April 30, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ANCHORAGE” is a dba name, the actual legal business name for this organization is JACY 1. 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 ANCHORAGE below.

NPI Profile for
JACY 1

NPI Number
1982879912
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
JACY 1
Doing Business As (dba): ANCHORAGE
Primary location
600 25TH AVE S STE 105
SAINT CLOUD, MN 56301-4820
Phone: (320) 255-9530 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LAURA LITKE
EXECUTIVE ASSISTANT
Phone: (320) 255-9530
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 10447991CDT

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.