OrganizationActive
Breast Cancer Detection Center of Alaska and Charitable Corporation
NPI 1487707790 · Mammography Clinic/Center · Fairbanks, AK
Provider details
- NPI number
- 1487707790
- Entity type
- Organization
- Primary specialty
- Mammography Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Odette Butler, Executive Director
- License
- 235774 (AK)
Practice location
1905 Cowles St
Fairbanks, AK 99701-5914
Phone: (907) 479-3909
Fax: (907) 479-2215
Mailing address
1905 Cowles St
Fairbanks, AK 99701-5914
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2013-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.