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REFINE DETOXIFICATION AND RECOVERY CENTER
NPI 1497424949
Clinic/Center - Rehabilitation, Substance Use Disorder in Fairbanks, AK

Active since September 08, 2021
211 CUSHMAN ST, FAIRBANKS, AK 99701(907) 374-1097 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2024, Jan 10, 2022, Sep 8, 2021 (3 updates tracked since 2021).

About Refine Detoxification And Recovery Center NPPES

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

REFINE DETOXIFICATION AND RECOVERY CENTER (NPI 1497424949) is a healthcare organization registered as a rehabilitation, substance use disorder in Fairbanks, Alaska and active in the NPI registry since September 2021. The organization lists Timothy M Thomas, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1497424949
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameRESTORE LLC
Location Address211 CUSHMAN STFairbanks, AK 99701-4639
Mailing AddressPo Box 73004Fairbanks, AK 99707-3004 · (907) 374-1097
Phone(907) 374-1097
Organization SubpartNo
Authorized OfficialTimothy M ThomasChief Operations Officer · (907) 374-1097
Enumeration DateSeptember 8, 2021
Last NPPES UpdateOctober 7, 20243 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1497424949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
211 CUSHMAN ST, Fairbanks, AK 99701
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Other Names 1

Doing Business AsRefine Detoxification And Recovery Center

Other Identifiers 1

Medicaid1687081AK

Other Providers at the Same Location NPPES 3

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

ROLANDA JEANELLE WRIGHT
Registered Nurse (Addiction (Substance Use Disorder))
211 CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
HANNAH MICAELA ALEXANDER RN
Registered Nurse (Addiction (Substance Use Disorder))
211 CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 328-1566
ROSALIA IOANE
Counselor (Addiction (Substance Use Disorder))
211 CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097

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 Restore LLC's NPI number?

The NPI number for Restore LLC is 1497424949. It was assigned to this organization in the NPPES registry on September 8, 2021. The provider is doing business as Refine Detoxification And Recovery Center.

Where is Restore LLC located?

Restore LLC is located at 211 Cushman St, Fairbanks, AK 99701. The listed phone number is (907) 374-1097.

What is Restore LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Restore LLC was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.