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TANANA VALLEY CLINIC LLC
NPI 1073081287
Clinic/Center - Multi-Specialty in Fairbanks, AK

Active since November 06, 2018
1405 KELLUM ST, FAIRBANKS, AK 99701(907) 459-3500 Get Directions Write a Review

NPPES record last updated: November 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tanana Valley Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANANA VALLEY CLINIC LLC (NPI 1073081287) is a healthcare organization registered as a multi-specialty in Fairbanks, Alaska and active in the NPI registry since November 2018. The organization lists Stephen Paul Leslie, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073081287
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameTANANA VALLEY CLINIC LLC
Location Address1405 KELLUM STFairbanks, AK 99701-4189
Mailing AddressPo Box 73720Fairbanks, AK 99707-3720 · (907) 459-3500 · Fax (907) 459-3526
Phone(907) 459-3500
Organization SubpartYesParent: Foundation Health Llc
Authorized OfficialStephen Paul LeslieCfo · (907) 458-3310
Enumeration DateNovember 6, 2018
✔ NPI 1073081287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1405 KELLUM ST, Fairbanks, AK 99701
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Other Identifiers 1

Medicaid1656193AK

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DONALD IVES M.D.
Family Medicine
1405 KELLUM ST, SUITE 300
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8346
DR. RALPH SYLVAN DIXON DPM
Podiatrist
1405 KELLUM ST, SUITE 200
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 451-9202
STEESE ORTHOPAEDIC ASSOCIATES, LLC
Orthopaedic Surgery
1405 KELLUM ST, SUITE 101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-4636
JONI SIMPSON M. ED., L. P. C.
Counselor (Professional)
1405 KELLUM ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 479-3171
MICHAEL POMEROY PA-C
Physician Assistant (Medical)
1405 KELLUM ST, SUITE 101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-4636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanana Valley Clinic LLC's NPI number?

The NPI number for Tanana Valley Clinic LLC is 1073081287. It was assigned to this organization in the NPPES registry on November 6, 2018.

Where is Tanana Valley Clinic LLC located?

Tanana Valley Clinic LLC is located at 1405 Kellum St, Fairbanks, AK 99701. The listed phone number is (907) 459-3500.

What is Tanana Valley Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Tanana Valley Clinic LLC was last updated on November 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.