TANANA VALLEY CLINIC LLC


Address: 570 Riverstone Way, Fairbanks, AK 99709-2940
Phone: 9074593500

TANANA VALLEY CLINIC LLC (NPI# 1073081485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073081485
Entity Type Organization
Organization Name TANANA VALLEY CLINIC LLC
Practice Address 570 Riverstone Way
Fairbanks
AK 99709-2940
Mailing Address Po Box 73720
Fairbanks
AK 99707-3720
Practice Telephone 9074593500
Mailing Telephone 9074593500
Enumeration Date 2018-11-05
Last Update Date 2018-11-05
Authorized Official Name STEPHEN PAUL LESLIE (CFO)
Authorized Official Telephone 9074583310
Is Organization Subpart Y
Parent Organization Name FOUNDATION HEALTH LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AK 1656221 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1063980118 Tanana Valley Clinic LLC Clinic/Center 1101 Noble St, Fairbanks, AK 99701-4924 2018-11-07
1073081287 Tanana Valley Clinic LLC Clinic/Center 1405 Kellum St, Fairbanks, AK 99701-4189 2018-11-06
1245708668 Tanana Valley Clinic LLC Clinic/Center 1919 Lathrop St, Fairbanks, AK 99701-5937 2018-11-03
1922559558 Tanana Valley Clinic LLC Clinic/Center 1001 Noble St, Fairbanks, AK 99701-4948 2016-10-19

Office Location

Street Address 570 RIVERSTONE WAY
City FAIRBANKS
State AK
Zip Code 99709-2940

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235298134 Barbara M Keys Optometrist 570 Riverstone Way, Ste 3, Fairbanks, AK 99709 2006-12-06
1114534179 Donna Renee Coben-hall Massage Therapist 570 Riverstone Way, Fairbanks, AK 99709-2940 2020-09-24
1073046983 Karlan Bachmann Massage Therapist 570 Riverstone Way, Fairbanks, AK 99709 2017-04-07
1023410529 Henry Charles Jensen Dentist 570 Riverstone Way, Suite 1, Fairbanks, AK 99709-2940 2014-09-16
1588800817 Colleen Personett, Od, LLC Optometrist 570 Riverstone Way, Suite 3, Fairbanks, AK 99709-2939 2008-12-16
1760653778 Ruth Nicolas, Od, PC Optometrist 570 Riverstone Way, Ste 3, Fairbanks, AK 99709-2939 2008-03-18
1922205061 Mavencamp Family Eyecare, Inc Optometrist 570 Riverstone Way, Suite 3, Fairbanks, AK 99709-2939 2007-07-02
1477686467 Norman Todd Lovell Chiropractor 570 Riverstone Way, Suite #2, Fairbanks, AK 99709-2939 2007-03-13
1760541676 Michael J Mavencamp Optometrist 570 Riverstone Way, Ste 3, Fairbanks, AK 99709 2006-12-06

Providers in the same zip code

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 Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063980118 Tanana Valley Clinic LLC Clinic/Center 1101 Noble St, Fairbanks, AK 99701-4924 2018-11-07
1942751631 Fairbanks Memorial Cardiology Clinic, LLC Clinic/Center 1650 Cowles St Dept 61a, Fairbanks, AK 99701-5907 2016-10-18
1073081287 Tanana Valley Clinic LLC Clinic/Center 1405 Kellum St, Fairbanks, AK 99701-4189 2018-11-06
1245708668 Tanana Valley Clinic LLC Clinic/Center 1919 Lathrop St, Fairbanks, AK 99701-5937 2018-11-03
1922559558 Tanana Valley Clinic LLC Clinic/Center 1001 Noble St, Fairbanks, AK 99701-4948 2016-10-19
1770933871 Arctic Pain Relief Center, LLC Clinic/Center 1901 Airport Way Ste 102, Fairbanks, AK 99701-4049 2016-06-20
1962803908 Banner Health Physicians Alaska LLC Clinic/Center 1001 Noble St, Fairbanks, AK 99701-4948 2014-09-09
1225273667 Margaret M Wilson Clinic/Center 1408 19th Ave., Chief Andrew Isaac Health Clinic, Fairbanks, AK 99701 2008-12-15
1386763290 Fairbanks Memorial Physician Specialities Clinic/Center 1650 Cowles St, Fairbanks, AK 99701-5925 2007-03-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487265690 Whole Family Integrated Wellness LLC Clinic/Center 600 E 36th Ave Ste 300, Anchorage, AK 99503-4168 2020-08-11
1528600947 Southcentral Foundation Clinic/Center 6901 E Tudor Rd Ste 8, Anchorage, AK 99507-1254 2019-10-17
1558899807 Arctic Chiropractic and Physical Medicine Kodiak Clinic/Center 2975 Mill Bay Rd Ste A, Kodiak, AK 99615-7831 2017-05-31
1811420391 Southcentral Foundation Clinic/Center 1021 E 3rd Ave, Anchorage, AK 99501-6102 2017-04-11
1689021776 Southcentral Foundation Clinic/Center 755 A St, Anchorage, AK 99501-3625 2016-05-18
1194152058 Peninsula Pediatric Therapy, Inc. Clinic/Center 7335 Palmer Wasilla Hwy, Palmer, AK 99645-6007 2013-10-08
1154591451 La Integrative Primary Care Centre Inc Clinic/Center 8811 Toloff St, Anchorage, AK 99507-3848 2008-03-03
1962572099 Juneau Family Birth Center Clinic/Center 3225 Hospital Dr Unit 106, Juneau, AK 99801-7863 2006-11-08
1912954272 Southcentral Foundation Clinic/Center 101 Airport Road, Iliamna, AK 99606 2006-05-30
1063467223 Southcentral Foundation Clinic/Center 10 Dnr Road, Mcgrath, AK 99627 2006-05-24
Find all providers with the same taxonomy

Competitor

Search similar providers

City FAIRBANKS
Zip Code 99709

Improve Information

Please comment or provide details below to improve the information on TANANA VALLEY CLINIC LLC.

Dataset Information

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.

Trending Searches