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FAIRBANKS NATIVE ASSOCIATION
NPI 1508401381
Substance Abuse Rehabilitation Facility in Fairbanks, AK

Active since November 15, 2019
3100 S CUSHMAN ST, FAIRBANKS, AK 99701(907) 452-6251(907) 456-4849 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fairbanks Native Association NPPES

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

FAIRBANKS NATIVE ASSOCIATION (NPI 1508401381), doing business as Ralph Perdue Center, 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 lists Perry Ahsogeak, Behavioral Health Director, as its authorized official.

NPPES Registry Identity

NPI1508401381
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameFAIRBANKS NATIVE ASSOCIATION
Location Address3100 S CUSHMAN STFairbanks, AK 99701-7516
Mailing Address315 Wendell AveFairbanks, AK 99701-4837 · (907) 452-6251 · Fax (907) 452-1001
Phone(907) 452-6251
Fax(907) 456-4849
Organization SubpartNo
Authorized OfficialPerry AhsogeakBehavioral Health Director · (907) 452-6251
Enumeration DateNovember 15, 2019
✔ NPI 1508401381 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.

3100 S CUSHMAN ST, Fairbanks, AK 99701
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Other Names 1

Doing Business AsRalph Perdue Center

Other Identifiers 1

Medicaid1696809AK

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.

ALYCE LYNNE WECKWERTH ANP
Nurse Practitioner
3100 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-6251
RITA MARIE ELLINGTON PSY.D., CDCS, ADMN
Counselor (Addiction (Substance Use Disorder))
3100 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-6251
DARLA K HOLMES
Counselor (Addiction (Substance Use Disorder))
3100 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-6251
MS. MINDA KAY MULL CDCI
Counselor (Addiction (Substance Use Disorder))
3100 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-6251
MS. DEBORAH ANN OTIS M.A., C.D.C.I
Counselor (Addiction (Substance Use Disorder))
3100 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-6251
FAIRBANKS NATIVE ASSOCIATION
Substance Abuse Rehabilitation Facility
3100 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-6251
ALICIA B. FITZPATRICK CDC I
Counselor (Addiction (Substance Use Disorder))
3100 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-6251
JOSEPH SAMPLE
Counselor
3100 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 371-3925

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 1508401381. It was assigned to this organization in the NPPES registry on November 15, 2019.

Where is Fairbanks Native Association located?

Fairbanks Native Association is located at 3100 S Cushman St, Fairbanks, AK 99701. The listed phone number is (907) 452-6251.

What is Fairbanks Native Association'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 Fairbanks Native Association was last updated on November 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.