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FAIRBANKS CLINIC INC
NPI 1073636148
Clinic/Center in Fairbanks, AK

Active since April 06, 2007
1405 KELLUM ST STE 201, FAIRBANKS, AK 99701(907) 452-1761(844) 531-0274 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fairbanks Clinic Inc NPPES

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

FAIRBANKS CLINIC INC (NPI 1073636148) is a healthcare organization registered as a clinic/center in Fairbanks, Alaska and active in the NPI registry since April 2007. The organization lists Tony Nimeh, Owner, as its authorized official.

NPPES Registry Identity

NPI1073636148
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFAIRBANKS CLINIC INC
Location Address1405 KELLUM ST STE 201Fairbanks, AK 99701-4189
Mailing Address607 Old Steese Hwy Ste B307Fairbanks, AK 99701-3163 · (907) 452-1761 · Fax (844) 531-0274
Phone(907) 452-1761
Fax(844) 531-0274
Organization SubpartNo
Authorized OfficialTony NimehOwner · (617) 686-6809
Enumeration DateApril 6, 2007
Last NPPES UpdateDecember 10, 2020
NPPES CertifiedDecember 10, 2020
✔ NPI 1073636148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in AK · 4311
Definition
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).
1405 KELLUM ST STE 201, Fairbanks, AK 99701
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Other Identifiers 1

Medicaid1004328AK

Other Providers at the Same Location NPPES 2

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

LINDA L GARCIA MD PC
Internal Medicine
1405 KELLUM ST STE 201
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 378-8119
LINDA L GARCIA MD
Internal Medicine
1405 KELLUM ST STE 201
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 378-8119

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 Fairbanks Clinic Inc's NPI number?

The NPI number for Fairbanks Clinic Inc is 1073636148. It was assigned to this organization in the NPPES registry on April 6, 2007.

Where is Fairbanks Clinic Inc located?

Fairbanks Clinic Inc is located at 1405 Kellum St Ste 201, Fairbanks, AK 99701. The listed phone number is (907) 452-1761.

What is Fairbanks Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Fairbanks Clinic Inc was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.