NPI 1013684414

Fairbanks Community Care Coordination

Organisation Case Management Agency Fairbanks, AK

Practice location

Address: 1902 Central Ave, Fairbanks, AK 99709-4223
Phone: (907) 398-7297
Mailing address: PO Box 80929, Fairbanks, AK 99708-0929

Authorised official

Name: Amanda Ellis
Title: Owner/Administrator
Phone: (907) 398-7297

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in Alaska →

Registry record

NPI: 1013684414
Entity type: Organization
NPI issued: 24 Aug 2021
Record last updated: 24 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.