Polar Wind Medical Center, Inc. | |
1867 Airport Way Ste 140a Fairbanks AK 99701-4055 | |
(907) 457-9355 | |
(907) 457-9356 |
Full Name | Polar Wind Medical Center, Inc. |
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Speciality | Family Medicine |
Location | 1867 Airport Way Ste 140a, Fairbanks, Alaska |
Authorized Official Name and Position | Kendrick David Blais (PRESIDENT) |
Authorized Official Contact | 9074579355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Polar Wind Medical Center, Inc. 1867 Airport Way Ste 140a Fairbanks AK 99701-4055 Ph: (907) 457-9355 | Polar Wind Medical Center, Inc. 1867 Airport Way Ste 140a Fairbanks AK 99701-4055 Ph: (907) 457-9355 |
NPI Number | 1013933209 |
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Provider Enumeration Date | 07/14/2006 |
Last Update Date | 10/07/2022 |
Medicare PECOS PAC ID | 8820082746 |
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Medicare Enrollment ID | O20040413001417 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013933209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Michele R Aiken |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174556526 PECOS PAC ID: 0840187167 Enrollment ID: I20040302000533 |
Provider Name | Nancy L Schupp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669587036 PECOS PAC ID: 2567418346 Enrollment ID: I20050324000541 |
Provider Name | Kendrick D Blais |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497771109 PECOS PAC ID: 4880688605 Enrollment ID: I20101201001410 |
Provider Name | Jennifer Ann Gehrke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124740808 PECOS PAC ID: 4284001132 Enrollment ID: I20221104002269 |
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 |