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FAIRBANKS NORTH STAR BOROUGH
NPI 1720039076
Ambulance - Land Transport in Fairbanks, AK

Active since May 12, 2006CLIA 02D0895547 · Waiver
3175 PEGER RD, FAIRBANKS, AK 99709(907) 459-1481 Get Directions Write a Review

NPPES record last updated: August 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fairbanks North Star Borough NPPES

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

FAIRBANKS NORTH STAR BOROUGH (NPI 1720039076) is a healthcare organization registered as a land transport in Fairbanks, Alaska and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 11, 2026 and lists Brad Paulson, Emergency Services Administrator, as its authorized official.

NPPES Registry Identity

NPI1720039076
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameFAIRBANKS NORTH STAR BOROUGH
Location Address3175 PEGER RDFairbanks, AK 99709-5454
Mailing AddressPo Box 71122Fairbanks, AK 99707-1122 · (907) 459-8200 · Fax (907) 459-8201
Phone(907) 459-1481
Organization SubpartNo
Authorized OfficialBrad PaulsonEmergency Services Administrator · (907) 459-1481
Enumeration DateMay 12, 2006
Last NPPES UpdateAugust 3, 2012
✔ NPI 1720039076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in AK · 0230
3175 PEGER RD, Fairbanks, AK 99709
Open in Google Maps ↗

Other Identifiers 4

Other337474300AK · Owcp
Medicare PINK0000RGCBZAK
Other590007983AK · Medicare Rr
MedicaidTR0508AK

CLIA Laboratory Certificates CMS CLIA

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 Waiver 02D0895547

Fairbanks North Star Borough Emergency Management · Fairbanks, AK
Active · expires Dec 11, 2026
CLIA Number02D0895547
Laboratory TypeMobile Laboratory
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorBradley Paulson
Laboratory Phone(907) 459-1481
Laboratory LocationFairbanks North Star Borough Emergency Management3175 Peger Road, Fairbanks, AK 99709
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
9,667 services594 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
799 services482 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
221 services172 patients
Advanced life support, level 2 (als 2) A0433
Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.
19 services17 patients

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 North Star Borough's NPI number?

The NPI number for Fairbanks North Star Borough is 1720039076. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is Fairbanks North Star Borough located?

Fairbanks North Star Borough is located at 3175 Peger Rd, Fairbanks, AK 99709. The listed phone number is (907) 459-1481.

What is Fairbanks North Star Borough's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Fairbanks North Star Borough hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D0895547) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fairbanks North Star Borough was last updated on August 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.