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FAIRWEATHER DEADHORSE MEDICAL CLINIC
NPI 1508121047
Physician Assistant in Deadhorse, AK

Active since July 11, 2012
500 1ST STREET, DEADHORSE, AK 99734(907) 685-1800(907) 685-1803 Get Directions Write a Review

NPPES record last updated: August 9, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fairweather Deadhorse Medical Clinic NPPES

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

FAIRWEATHER DEADHORSE MEDICAL CLINIC (NPI 1508121047) is a healthcare organization registered as a physician assistant in Deadhorse, Alaska and active in the NPI registry since July 2012. The organization lists Amy R Bolam, Group Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1508121047
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameFAIRWEATHER DEADHORSE MEDICAL CLINIC
Location Address500 1ST STREETDeadhorse, AK 99734-0000
Mailing AddressPo Box 200134Anchorage, AK 99520-0134 · (907) 248-8008 · Fax (907) 248-8208
Phone(907) 685-1800
Fax(907) 685-1803
Organization SubpartNo
Authorized OfficialAmy R BolamGroup Practice Manager · (907) 248-8008
Enumeration DateJuly 11, 2012
Last NPPES UpdateAugust 9, 2013
✔ NPI 1508121047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AK · 940479
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
500 1ST STREET, Deadhorse, AK 99734
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Fairweather Deadhorse Medical Clinic's NPI number?

The NPI number for Fairweather Deadhorse Medical Clinic is 1508121047. It was assigned to this organization in the NPPES registry on July 11, 2012.

Where is Fairweather Deadhorse Medical Clinic located?

Fairweather Deadhorse Medical Clinic is located at 500 1st Street, Deadhorse, AK 99734. The listed phone number is (907) 685-1800.

What is Fairweather Deadhorse Medical Clinic's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Fairweather Deadhorse Medical Clinic was last updated on August 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.