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JACY1 DBA ANCHORAGE
NPI 1508044975
Substance Abuse Rehabilitation Facility in Moorhead, MN

Active since February 07, 2008
810 4TH ST S, SUITE 152, MOORHEAD, MN 56560(218) 287-1500(218) 287-1267 Get Directions Write a Review

NPPES record last updated: February 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacy1 Dba Anchorage NPPES

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

JACY1 DBA ANCHORAGE (NPI 1508044975) is a healthcare organization registered as a substance abuse rehabilitation facility in Moorhead, Minnesota and active in the NPI registry since February 2008. The organization lists Laurie Joanne Ray, Program Director, as its authorized official.

NPPES Registry Identity

NPI1508044975
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameJACY1 DBA ANCHORAGE
Location Address810 4TH ST S, SUITE 152Moorhead, MN 56560
Mailing Address810 4th St S, Suite 152Moorhead, MN 56560 · (218) 287-1500 · Fax (218) 287-1267
Phone(218) 287-1500
Fax(218) 287-1267
Organization SubpartNo
Authorized OfficialLaurie Joanne RayProgram Director · (218) 287-1500
Enumeration DateFebruary 7, 2008
✔ NPI 1508044975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MN · 1044799
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.
810 4TH ST S, Moorhead, MN 56560
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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 Jacy1 Dba Anchorage's NPI number?

The NPI number for Jacy1 Dba Anchorage is 1508044975. It was assigned to this organization in the NPPES registry on February 7, 2008.

Where is Jacy1 Dba Anchorage located?

Jacy1 Dba Anchorage is located at 810 4th St S Suite 152, Moorhead, MN 56560. The listed phone number is (218) 287-1500.

What is Jacy1 Dba Anchorage's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacy1 Dba Anchorage was last updated on February 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.