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TANANA VALLEY CLINIC
NPI 1104067560
Durable Medical Equipment & Medical Supplies in Fairbanks, AK

Active since March 16, 2009
1001 NOBLE ST, FAIRBANKS, AK 99701(907) 459-3500 Get Directions Write a Review

NPPES record last updated: March 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tanana Valley Clinic NPPES

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

TANANA VALLEY CLINIC (NPI 1104067560) is a healthcare organization registered as a durable medical equipment & medical supplies in Fairbanks, Alaska and active in the NPI registry since March 2009. The organization lists Dennis Dahlen, Sr Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1104067560
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameTANANA VALLEY CLINIC
Location Address1001 NOBLE STFairbanks, AK 99701-4922
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837
Phone(907) 459-3500
Organization SubpartYesParent: Banner Health
Authorized OfficialDennis DahlenSr Vp Finance · (602) 747-4000
Enumeration DateMarch 16, 2009
✔ NPI 1104067560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1001 NOBLE ST, Fairbanks, AK 99701
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Other Identifiers 1

Medicare NSC0361450001AK

Other Providers at the Same Location NPPES 20

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

DR. JENNIFER RIBAR D.O.
Neuromusculoskeletal Medicine & OMM
1001 NOBLE ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3500
DR. JAMES TIMOTHY FOOTE M.D.
Allergy & Immunology
1001 NOBLE ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3520
TATIANA CARLIN OLSON PA-C
Physician Assistant (Medical)
1001 NOBLE ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 458-2682
DR. MARVIN BERGESON M.D.
Pediatrics
1001 NOBLE ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3520
DR. PETER JOHN DILLON JR. M.D.
Family Medicine
1001 NOBLE ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3500
DR. MATTHEW WARD RAYMOND D.O.
Preventive Medicine (Occupational Medicine)
1001 NOBLE ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3500
DR. ERIC L SCHNEIDER DO
Family Medicine
1001 NOBLE ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3500
SHELBY A BRAUN MS, RDN, LD
Dietitian, Registered
1001 NOBLE ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3500

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's NPI number?

The NPI number for Tanana Valley Clinic is 1104067560. It was assigned to this organization in the NPPES registry on March 16, 2009.

Where is Tanana Valley Clinic located?

Tanana Valley Clinic is located at 1001 Noble St, Fairbanks, AK 99701. The listed phone number is (907) 459-3500.

What is Tanana Valley Clinic's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Tanana Valley Clinic was last updated on March 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.