RALPH PERDUE CENTER
NPI 1154594216
Substance Abuse Rehabilitation Facility in Fairbanks, AK

NPI Status: Active since April 10, 2008

Contact Information

3100 S CUSHMAN ST
FAIRBANKS, AK
ZIP 99701
Phone: (907) 452-6251
Fax: (907) 456-4849

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  • Organization
  • Substance Abuse Rehabilitation Facility

About RALPH PERDUE CENTER

This page provides the complete NPI Profile along with additional information for Ralph Perdue Center, a provider established in Fairbanks, Alaska operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1154594216 assigned on April 2008. The practitioner's primary taxonomy code is 324500000X with license number 76821 (AK). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Ralph Perdue Center. The authorized official of this NPI record is Guy M Patterson (Bhs Director)

NPI
1154594216
Provider Legal Name
FAIRBANKS NATIVE ASSOCIATION
Other Organization Name
RALPH PERDUE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3100 S CUSHMAN ST FAIRBANKS, AK 99701
Location Phone
(907) 452-6251
Location Fax
(907) 456-4849
Mailing Address
605 HUGHES AVE FAIRBANKS, AK 99701
Mailing Phone
(907) 452-1648
Mailing Fax
(907) 456-4849
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2008
Last Update Date
04-10-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
76821
License State
AK
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GUY M PATTERSON

Authorized Official Title
BHS DIRECTOR
Authorized Official Phone
(907) 452-6251

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DA4435MEDICAID (05)AK 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154594216
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104109822
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 0 + 9 + 8 + 2 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1154594216 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083618334 ALYCE LYNNE WECKWERTH ANP
Individual
Nurse Practitioner3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 452-6251
1952529679 RITA MARIE ELLINGTON PSY.D., CDCS, ADMN
Individual
Counselor (Addiction (Substance Use Disorder))3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 452-6251
1790996015 DARLA K HOLMES
Individual
Counselor (Addiction (Substance Use Disorder))3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 452-6251
1649474834MS. MINDA KAY MULL CDCI
Individual
Counselor (Addiction (Substance Use Disorder))3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 452-6251
1285811042MS. DEBORAH ANN OTIS M.A., C.D.C.I
Individual
Counselor (Addiction (Substance Use Disorder))3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 452-6251
1902054257 ALICIA B. FITZPATRICK CDC I
Individual
Counselor (Addiction (Substance Use Disorder))3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 452-6251
1366004574 JOSEPH SAMPLE
Individual
Counselor3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 371-3925
1467004663MS. HEATHER MN JORDAN BA
Individual
Counselor (Addiction (Substance Use Disorder))3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 452-1648
1154973287 MICHAELA ASHLEY CRAFT MS, LPC
Individual
Counselor (Professional)3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 452-6251
1609428317 JORDAN DANIELS
Individual
Counselor (Addiction (Substance Use Disorder))3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 452-6251
1811549280 ALEXANDRIA ROSE BUCHOLTZ
Individual
Counselor (Addiction (Substance Use Disorder))3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 452-6251
1144873480 ANGEL STICKMAN
Individual
Counselor (Addiction (Substance Use Disorder))3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 452-6251
1518510056 TERESA L FAUCETTE LMSW
Individual
Social Worker3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 452-1648
1508419045 DEBRA MARY DELONG MA
Individual
Counselor (Addiction (Substance Use Disorder))3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 452-6251
1437703840 REBECCA LIN BUCKLES
Individual
Counselor (Mental Health)3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 452-6251
1508401381FAIRBANKS NATIVE ASSOCIATION
Organization
Substance Abuse Rehabilitation Facility3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 452-6251
1023631983 TIMOTHY LEDNA NCC
Individual
Counselor (Professional)3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 452-6251
1437772266 STANLEY ANTHONY KURPAKUS
Individual
Counselor3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 371-6036
1073124939 ALYSSA BALL
Individual
Social Worker3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 452-6251
1114530003 JUDITH FLORENCE EVANS
Individual
Counselor3100 S CUSHMAN ST
FAIRBANKS, AK 99701
(907) 452-6251

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154594216, enumerated in the NPI registry as an "organization" on April 10, 2008

The provider is located at 3100 S Cushman St Fairbanks, Ak 99701 and the phone number is (907) 452-6251

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 10, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.