Jacy1 Dba Anchorage
NPI 1508044975 · Substance Abuse Rehabilitation Facility · Moorhead, MN
Jacy1 Dba Anchorage is a Substance Abuse Rehabilitation Facility organization in Moorhead, MN (NPI 1508044975).
Provider details
- NPI number
- 1508044975
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Laurie Ray, Program Director(218) 287-1500
- License
- 1044799 (MN)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-07
- Last updated
- 2008-02-07
Frequently asked questions
- What is Jacy1 Dba Anchorage's NPI number?
- Jacy1 Dba Anchorage's National Provider Identifier (NPI) is 1508044975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacy1 Dba Anchorage?
- Jacy1 Dba Anchorage is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Jacy1 Dba Anchorage located?
- Jacy1 Dba Anchorage's practice location on file with NPPES is 810 4th St S, Moorhead, MN 56560.
- What is Jacy1 Dba Anchorage's phone number?
- The practice phone number listed in the NPPES registry for Jacy1 Dba Anchorage is (218) 287-1500.
- Who is the authorized official for Jacy1 Dba Anchorage?
- The authorized official listed on Jacy1 Dba Anchorage's NPPES record is Laurie Ray, Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacy1 Dba Anchorage's NPI active?
- Yes — Jacy1 Dba Anchorage's NPI (1508044975) is active in the NPPES registry as of the last update on 2008-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.