GROUND ZERO WELLNESS CENTER (NPI# 1508393869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508393869 |
| Entity Type | Organization |
| Organization Name | GROUND ZERO WELLNESS CENTER |
| Practice Address |
4670 Killen Ln Fairbanks AK 99709-3325 |
| Practice Telephone | (907) 455-9118 |
| Mailing Telephone | 9074559118 |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2017-05-17 |
| Authorized Official Name | JAMES MICHAEL BANKS (OWNER) |
| Authorized Official Telephone | 9074559118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
4670 KILLEN LN |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-3325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508401381 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 3100 S Cushman St, Fairbanks, AK 99701-7516 | 2019-11-15 |
| 1134764913 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 650 Younker Ct, Fairbanks, AK 99701-7586 | 2019-11-15 |
| 1790236578 | North Country Medical, LLC | Substance Abuse Rehabilitation Facility | 626 2nd St, Suite 201b, Fairbanks, AK 99701-3466 | 2016-10-17 |
| 1275897548 | Steven Ketzler | Substance Abuse Rehabilitation Facility | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2012-07-01 |
| 1013205608 | Tanana Chiefs Conference | Substance Abuse Rehabilitation Facility | 201 1st Ave, Fairbanks, AK 99701-4848 | 2011-07-15 |
| 1386817237 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2008-04-10 |
| 1154594216 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 3100 S Cushman St, Fairbanks, AK 99701-7516 | 2008-04-10 |
| 1982877353 | Old Minto Family Recovery Camp | Substance Abuse Rehabilitation Facility | 122 1st Ave, Fairbanks, AK 99701-4803 | 2008-04-08 |
| 1578736211 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 1027 Evergreen St, Fairbanks, AK 99709-4306 | 2008-04-02 |
| 1982876629 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2008-04-01 |
| Find all providers in FAIRBANKS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.