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TANANA VALLEY CLINIC LLC
NPI 1073081485
Clinic/Center - Multi-Specialty in Fairbanks, AK

Active since November 05, 2018
570 RIVERSTONE WAY, FAIRBANKS, AK 99709(907) 459-3500 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: July 19, 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 1073081485) 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

NPI1073081485
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameTANANA VALLEY CLINIC LLC
Location Address570 RIVERSTONE WAYFairbanks, AK 99709-2940
Mailing AddressPo Box 73720Fairbanks, AK 99707-3720 · (907) 459-3500
Phone(907) 459-3500
Organization SubpartYesParent: Foundation Health Llc
Authorized OfficialStephen Paul LeslieCfo · (907) 458-3310
Enumeration DateNovember 5, 2018
✔ NPI 1073081485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
570 RIVERSTONE WAY, Fairbanks, AK 99709
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Other Identifiers 1

Medicaid1656221AK

Other Providers at the Same Location NPPES 9

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

DR. NORMAN TODD LOVELL DC
Chiropractor
570 RIVERSTONE WAY, SUITE #2
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 458-8633
RUTH NICOLAS, OD, PC
Optometrist
570 RIVERSTONE WAY, STE 3
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 479-4700
COLLEEN PERSONETT, OD, LLC
Optometrist
570 RIVERSTONE WAY, SUITE 3
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 479-4700
DR. MICHAEL J MAVENCAMP OD
Optometrist
570 RIVERSTONE WAY, STE 3
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 479-4700
MAVENCAMP FAMILY EYECARE, INC
Optometrist
570 RIVERSTONE WAY, SUITE 3
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 479-4700
DR. HENRY CHARLES JENSEN
Dentist
570 RIVERSTONE WAY, SUITE 1
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 455-4350
DR. BARBARA M KEYS OD
Optometrist
570 RIVERSTONE WAY, STE 3
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 479-4700
KARLAN BACHMANN LMT
Massage Therapist
570 RIVERSTONE WAY
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 458-8633

Frequently Asked Questions

What is TANANA VALLEY CLINIC LLC's NPI number?

The NPI number assigned to this healthcare provider is 1073081485, enumerated as an "organization" on November 05, 2018.

Where is the provider located?

The provider is located at 570 RIVERSTONE WAY FAIRBANKS, AK 99709 and the phone number is (907) 459-3500.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

What insurance does TANANA VALLEY CLINIC LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.