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PRESBYTERIAN HOSPITALITY HOUSE
NPI 1871624536
Residential Treatment Facility, Emotionally Disturbed Children in Fairbanks, AK

Active since March 07, 2007
209 FORTY MILE AVE, FAIRBANKS, AK 99701(907) 456-6445(907) 456-6402 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Presbyterian Hospitality House NPPES

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

PRESBYTERIAN HOSPITALITY HOUSE (NPI 1871624536) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Fairbanks, Alaska and active in the NPI registry since March 2007. The organization lists Drenda M Tigner, Excutive Director, as its authorized official.

NPPES Registry Identity

NPI1871624536
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NamePRESBYTERIAN HOSPITALITY HOUSE
Location Address209 FORTY MILE AVEFairbanks, AK 99701-3110
Mailing Address209 Forty Mile AveFairbanks, AK 99701-3110 · (907) 456-6445 · Fax (907) 456-6402
Phone(907) 456-6445
Fax(907) 456-6402
Organization SubpartNo
Authorized OfficialDrenda M TignerExcutive Director · (907) 456-6445
Enumeration DateMarch 7, 2007
Last NPPES UpdateNovember 1, 2012
✔ NPI 1871624536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
209 FORTY MILE AVE, Fairbanks, AK 99701
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Other Identifiers 1

MedicaidMH2770AK

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.

BRENDA BORNT-JOHNSON
Community Health Worker
209 FORTY MILE AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-6445
ETHAN HART
Community Health Worker
209 FORTY MILE AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-6445
MACKENZIE GROVER
Community Health Worker
209 FORTY MILE AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-6445
RIKKIE O JOHNSON WAY
Community Health Worker
209 FORTY MILE AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-6445
TIFFANY HARRIS
Community Health Worker
209 FORTY MILE AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 651-2651
PAIGE A NIETO
Community Health Worker
209 FORTY MILE AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-6445
LINDA BROWN
Community Health Worker
209 FORTY MILE AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-6445
JABARI K STONE
Community Health Worker
209 FORTY MILE AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-6445

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 Presbyterian Hospitality House's NPI number?

The NPI number for Presbyterian Hospitality House is 1871624536. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Presbyterian Hospitality House located?

Presbyterian Hospitality House is located at 209 Forty Mile Ave, Fairbanks, AK 99701. The listed phone number is (907) 456-6445.

What is Presbyterian Hospitality House's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Presbyterian Hospitality House was last updated on November 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.