CHIEF ANDREW ISSAC HEALTH CENTER
NPI 1083258677
Community/Behavioral Health in Fairbanks, AK
About Chief Andrew Issac Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHIEF ANDREW ISSAC HEALTH CENTER (NPI 1083258677) is a healthcare organization registered as a community/behavioral health in Fairbanks, Alaska and active in the NPI registry since November 2019. The organization holds 2 active CLIA laboratory certificates and lists Jacoline Bergstrom, Ex. Director Of H.s., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 02D2046936
Chief Andrew Isaac Health Center Laboratory · Fairbanks, AKCertificate of Waiver 02D2023425
Chief Andrew Isaac Health Center · Fairbanks, AKOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Chief Andrew Issac Health Center's NPI number?
The NPI number for Chief Andrew Issac Health Center is 1083258677. It was assigned to this organization in the NPPES registry on November 6, 2019.
Where is Chief Andrew Issac Health Center located?
Chief Andrew Issac Health Center is located at 1717 W Cowles St, Fairbanks, AK 99701. The listed phone number is (907) 451-6682.
What is Chief Andrew Issac Health Center's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Does Chief Andrew Issac Health Center hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Chief Andrew Issac Health Center was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Chief Andrew Issac Health Center · NPI 1083258677
Community/Behavioral Health organization in Fairbanks, Alaska. Organization record, active in the CMS NPPES registry since November 6, 2019.
## Identity
- **NPI:** 1083258677 (Entity type: Organization)
- **Enumerated:** November 6, 2019
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Jacoline Bergstrom, EX. DIRECTOR OF H.S.
## Practice location
- **Address:** 1717 W COWLES ST, Fairbanks, AK 99701-5926
- **Phone:** (907) 451-6682
## Record status
- **NPPES last updated:** April 25, 2025
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083258677) · Data from the CMS NPPES public registry.