1. Home
  2. Directory
  3. Alaska
  4. Fairbanks
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

FAIRBANKS NATIVE ASSOCIATION
NPI 1134764913
Substance Abuse Rehabilitation Facility in Fairbanks, AK

Active since November 15, 2019CLIA 02D2042948 · Waiver
650 YOUNKER CT, FAIRBANKS, AK 99701(907) 456-1053(907) 452-1001 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fairbanks Native Association NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRBANKS NATIVE ASSOCIATION (NPI 1134764913), doing business as Gateway To Recovery, is a healthcare organization registered as a substance abuse rehabilitation facility in Fairbanks, Alaska and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through June 21, 2028 and lists Perry Ahsogeak, Behavioral Health Director, as its authorized official.

NPPES Registry Identity

NPI1134764913
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameFAIRBANKS NATIVE ASSOCIATION
Location Address650 YOUNKER CTFairbanks, AK 99701-7586
Mailing Address315 Wendell AveFairbanks, AK 99701-4837 · (907) 452-6251 · Fax (907) 452-1001
Phone(907) 456-1053
Fax(907) 452-1001
Organization SubpartNo
Authorized OfficialPerry AhsogeakBehavioral Health Director · (907) 452-6251
Enumeration DateNovember 15, 2019
✔ NPI 1134764913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
650 YOUNKER CT, Fairbanks, AK 99701
Open in Google Maps ↗

Other Names 1

Doing Business AsGateway To Recovery

Other Identifiers 1

Medicaid1696799AK

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 02D2042948

Fairbanks Native Association · Fairbanks, AK
Active · expires Jun 21, 2028
CLIA Number02D2042948
Laboratory TypeAlcohol/Drug Rehab Center
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorHarry Conway
Laboratory Phone(907) 405-8257
Laboratory LocationFairbanks Native Association605 Hughes Ave, Fairbanks, AK 99701
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALINA CUSHING RN
Registered Nurse
650 YOUNKER CT
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-1053
BRIDGET WILKERSON CDC I
Counselor (Addiction (Substance Use Disorder))
650 YOUNKER CT
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
SHARON ELEMENTO EGANA-CABOLIS LPN
Licensed Practical Nurse
650 YOUNKER CT
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-1053
RACHEAL SIFFORD
Registered Nurse (Addiction (Substance Use Disorder))
650 YOUNKER CT
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 382-7822
MRS. CYNTHIA LU BELLE KELLEY RN
Registered Nurse (Addiction (Substance Use Disorder))
650 YOUNKER CT
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-1053
MATTHEW AARON WALKER
Technician
650 YOUNKER CT
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
KIEL PATRICK COUCH RN
Registered Nurse
650 YOUNKER CT
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 590-4078
IRA ZACZKOWSKI
Registered Nurse (Addiction (Substance Use Disorder))
650 YOUNKER CT
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 328-7822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairbanks Native Association's NPI number?

The NPI number for Fairbanks Native Association is 1134764913. It was assigned to this organization in the NPPES registry on November 15, 2019. The provider is doing business as Gateway to Recovery.

Where is Fairbanks Native Association located?

Fairbanks Native Association is located at 650 Younker Ct, Fairbanks, AK 99701. The listed phone number is (907) 456-1053.

What is Fairbanks Native Association's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Fairbanks Native Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2042948) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fairbanks Native Association was last updated on November 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.