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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: August 09, 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. HENRY CHARLES JENSEN
Dentist
570 RIVERSTONE WAY, SUITE 1
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 455-4350
KARLAN BACHMANN LMT
Massage Therapist
570 RIVERSTONE WAY
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 458-8633
DONNA RENEE COBEN-HALL
Massage Therapist
570 RIVERSTONE WAY
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 687-8316
DR. BARBARA M KEYS OD
Optometrist
570 RIVERSTONE WAY, STE 3
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 479-4700
DR. NORMAN TODD LOVELL DC
Chiropractor
570 RIVERSTONE WAY, SUITE #2
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 458-8633
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
RUTH NICOLAS, OD, PC
Optometrist
570 RIVERSTONE WAY, STE 3
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 479-4700

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 1073081485. It was assigned to this organization in the NPPES registry on November 5, 2018.

Where is Tanana Valley Clinic LLC located?

Tanana Valley Clinic LLC is located at 570 Riverstone Way, Fairbanks, AK 99709. 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 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.