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TANANA VALLEY CLINIC LLC
NPI 1922559558
Clinic/Center - Multi-Specialty in Fairbanks, AK

Active since October 19, 2016
1001 NOBLE ST, FAIRBANKS, AK 99701(907) 459-3500(907) 459-3526 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2024, Oct 2, 2023, May 27, 2021 and 5 more (8 updates tracked since 2016).

About Tanana Valley Clinic Llc NPPES

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

TANANA VALLEY CLINIC LLC (NPI 1922559558) is a healthcare organization registered as a multi-specialty in Fairbanks, Alaska and active in the NPI registry since October 2016. The organization maintains 4 additional practice locations and lists Anthony G Sudduth, Cfo, as its authorized official.

NPPES Registry Identity

NPI1922559558
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameTANANA VALLEY CLINIC LLC
Location Address1001 NOBLE STFairbanks, AK 99701-4948
Mailing AddressPo Box 73720Fairbanks, AK 99707-3720 · (907) 459-3500 · Fax (907) 459-3526
Phone(907) 459-3500
Fax(907) 459-3526
Organization SubpartYesParent: Foundation Health Llc
Authorized OfficialAnthony G SudduthCfo · (907) 458-5300
Enumeration DateOctober 19, 2016
Last NPPES UpdateJuly 15, 20258 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
✔ NPI 1922559558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in AK · 1043161
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
1001 NOBLE ST, Fairbanks, AK 99701
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11101 Noble StFairbanks, AK 99701-4924 · Phone (907) 459-3500 · Fax (907) 458-2628
Location 22111 Cowles StFairbanks, AK 99701-5918 · Phone (907) 459-3500
Location 31919 Lathrop StFairbanks, AK 99701-5937 · Phone (907) 459-3500 · Fax (907) 459-3526
Location 41650 Cowles StFairbanks, AK 99701-5907 · Phone (907) 459-3500

Other Identifiers 5

Medicaid1680751AK
Medicaid1656231AK
Medicaid1656211AK
Medicaid1656237AK
Medicaid1740002AK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

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
TANANA VALLEY CLINIC
Durable Medical Equipment & Medical Supplies
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 LLC's NPI number?

The NPI number for Tanana Valley Clinic LLC is 1922559558. It was assigned to this organization in the NPPES registry on October 19, 2016.

Where is Tanana Valley Clinic LLC located?

Tanana Valley Clinic LLC is located at 1001 Noble 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.

What insurance does Tanana Valley Clinic LLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Tanana Valley Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tanana Valley Clinic LLC was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.