RENAL CARE GROUP ALASKA FAIRBANKS, LLC (NPI# 1679912059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679912059 |
| Entity Type | Organization |
| Organization Name | RENAL CARE GROUP ALASKA FAIRBANKS, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE FAIRBANKS |
| Practice Address |
1863 Airport Way Fairbanks AK 99701-4007 |
| Practice Telephone | 9074522900 |
| Practice Fax Number | 9074522808 |
| Mailing Telephone | 9074522900 |
| Mailing Fax Number | 9074522808 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2014-06-11 |
| Authorized Official Name | MARK R. FAWCETT (VP AND TREAUSRER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fresenius Medical Care Fairbanks | Doing Business As Name - Organization |
| Street Address |
1863 AIRPORT WAY |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689786485 | Renal Care Group Alaska, Inc. | Clinic/Center | 1863 Airport Way, Fairbanks, AK 99701-4007 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689786485 | Renal Care Group Alaska, Inc. | Clinic/Center | 1863 Airport Way, Fairbanks, AK 99701-4007 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316206915 | Ad Partners II, LLC | Clinic/Center | 360 Boniface Pkwy, Suite A11, Anchorage, AK 99504-4900 | 2012-05-16 |
| 1801046362 | Fresenius Medical Care Soldotna, LLC | Clinic/Center | 289 North Fireweed, Soldotna, AK 99669-5333 | 2008-09-22 |
| 1154570067 | Fresenius Medical Care Southwest Anchorage, LLC | Clinic/Center | 9085 Blackberry Street, Anchorage, AK 99502-5308 | 2008-09-16 |
| 1841468535 | Liberty Dialysis - Alaska LLC | Clinic/Center | 901 E Dimond Blvd, Anchorage, AK 99515-2007 | 2008-02-14 |
| 1770695579 | Renal Care Group Alaska, Inc. | Clinic/Center | 3950 Laurel St, Anchorage, AK 99508-5333 | 2006-08-31 |
| 1497867295 | Renal Care Group Wasilla LLC | Clinic/Center | 3787 East Meridian Loop, Wasilla, AK 99654-7270 | 2006-08-31 |
| 1639554017 | Muldoon Development Partners LLC | Clinic/Center | 2735 E Tudor Rd, Anchorage, AK 99507-1135 | 2015-07-27 |
| 1780865741 | Liberty Dialysis - Ahp LLC | Clinic/Center | 4050 Lake Otis Pkwy, Suite 106, Anchorage, AK 99508-5212 | 2007-11-19 |
| 1215049010 | Dialysis Services of Southeast Alaska, LLC | Clinic/Center | 9109 Mendenhall Mall Rd, Suite 6, Juneau, AK 99801 | 2006-08-31 |
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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.