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TANANA VALLEY CLINIC LLC
NPI 1245708668
Clinic/Center - Multi-Specialty in Fairbanks, AK

Active since November 03, 2018
1919 LATHROP ST, FAIRBANKS, AK 99701(907) 459-3500(907) 459-3526 Get Directions Write a Review

NPPES record last updated: November 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 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 1245708668) 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

NPI1245708668
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameTANANA VALLEY CLINIC LLC
Location Address1919 LATHROP STFairbanks, AK 99701-5937
Mailing AddressPo Box 73720Fairbanks, AK 99707-3720 · (190) 745-9350
Phone(907) 459-3500
Fax(907) 459-3526
Organization SubpartYesParent: Foundation Health Llc
Authorized OfficialStephen Paul LeslieCfo · (907) 458-3310
Enumeration DateNovember 3, 2018
✔ NPI 1245708668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1919 LATHROP ST, Fairbanks, AK 99701
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Other Identifiers 1

Medicaid1656211AK

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.

EYE CLINIC OF FAIRBANKS, INC
Ophthalmology
1919 LATHROP ST, SUITE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-7760
FAIRBANKS ORTHODONTIC GROUP A PROF CORP
Dentist (Orthodontics and Dentofacial Orthopedics)
1919 LATHROP ST, SUITE 102
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-2939
EAR NOSE & THROAT CLINIC INC.
Otolaryngology
1919 LATHROP ST, SUITE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-7768
MRS. SHANNON KAY RHOTON MSN, FNP-BC
Nurse Practitioner (Family)
1919 LATHROP ST, SUITE 217
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-8191
PRESCRIPTION CENTER LLC
Pharmacy (Community/Retail Pharmacy)
1919 LATHROP ST, SUITE 109
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1514
STARKS MD LLC
Internal Medicine
1919 LATHROP ST, STE 204
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-4822
STEFAN LEO-NYQUIST DO
Family Medicine
1919 LATHROP ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 458-2619
DAVID BOYD ATC
Specialist/Technologist (Athletic Trainer)
1919 LATHROP ST, SUITE 123
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 455-4401

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 1245708668. It was assigned to this organization in the NPPES registry on November 3, 2018.

Where is Tanana Valley Clinic LLC located?

Tanana Valley Clinic LLC is located at 1919 Lathrop St, Fairbanks, AK 99701. 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 3, 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.