| Tanana Valley Clinic Llc | |
|
1405 Kellum St Fairbanks AK 99701-4189 | |
| (907) 459-3500 | |
| Not Available |
| Full Name | Tanana Valley Clinic Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1405 Kellum St, Fairbanks, Alaska |
| Authorized Official Name and Position | Stephen Paul Leslie (CFO) |
| Authorized Official Contact | 9074583310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanana Valley Clinic Llc Po Box 73720 Fairbanks AK 99707-3720 Ph: (907) 459-3500 | Tanana Valley Clinic Llc 1405 Kellum St Fairbanks AK 99701-4189 Ph: (907) 459-3500 |
| NPI Number | 1073081287 |
|---|---|
| Provider Enumeration Date | 11/06/2018 |
| Last Update Date | 11/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073081287 | NPI | - | NPPES |
| 1656193 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (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 |