Organization · Type 2 NPI
Fairbanks Clinic Inc
Clinic/Center · Fairbanks, AK
NPI number
1073636148
Active
Practice location
1405 Kellum St Ste 201
Fairbanks, AK 99701-4189
Fax (844) 531-0274
Mailing address
607 Old Steese Hwy Ste B307
Fairbanks, AK 99701-3163
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 4311 (AK) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
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About NPI 1073636148
Fairbanks Clinic Inc's National Provider Identifier is 1073636148, issued on Apr 6, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fairbanks, AK. The record was last updated on Dec 10, 2020.