| Interior Community Health Center | |
|
1606 23rd Ave Fairbanks AK 99701-6407 | |
| (907) 455-4567 | |
| (907) 458-1589 |
| Full Name | Interior Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1606 23rd Ave, Fairbanks, Alaska |
| Authorized Official Name and Position | Cheryl Kilgore (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9074554567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interior Community Health Center 1606 23rd Ave Fairbanks AK 99701-6407 Ph: (907) 455-4567 | Interior Community Health Center 1606 23rd Ave Fairbanks AK 99701-6407 Ph: (907) 455-4567 |
| NPI Number | 1457552903 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 08/04/2008 |
| Medicare PECOS PAC ID | 9830001031 |
|---|---|
| Medicare Enrollment ID | O20041123000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457552903 | NPI | - | NPPES |
| 02D0876889 | Other | CLIA | |
| 02D0902300 | Other | AK | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Polar Wind Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1867 Airport Way Ste 140a, Fairbanks, AK 99701 Phone: 907-457-9355 Fax: 907-457-9356 | |
Alaska Occupational Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1919 Lathrop St Ste 203, Fairbanks, AK 99701 Phone: 907-456-2825 Fax: 907-451-0742 | |
University Of Alaska Fairbanks Center For Health & Counseling Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 N. Chandalar Dr., Fairbanks, AK 99775 Phone: 907-474-7043 Fax: 907-474-5777 | |
Joseph Daniel Grimes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-3345 | |
Linda L Garcia Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Kellum St Ste 201, Fairbanks, AK 99701 Phone: 907-378-8119 Fax: 907-488-5539 | |
Tanana Valley Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Noble St, Fairbanks, AK 99701 Phone: 907-459-3500 | |
Tanana Valley Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Kellum St, Fairbanks, AK 99701 Phone: 907-459-3500 |