| Fairbanks Clinic Inc | |
|
1405 Kellum St Ste 201 Fairbanks AK 99701-4189 | |
| (907) 452-1761 | |
| (844) 531-0274 |
| Full Name | Fairbanks Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1405 Kellum St Ste 201, Fairbanks, Alaska |
| Authorized Official Name and Position | Tony Nimeh (OWNER) |
| Authorized Official Contact | 6176866809 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairbanks Clinic Inc 607 Old Steese Hwy Ste B307 Fairbanks AK 99701-3163 Ph: (907) 452-1761 | Fairbanks Clinic Inc 1405 Kellum St Ste 201 Fairbanks AK 99701-4189 Ph: (907) 452-1761 |
| NPI Number | 1073636148 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 12/10/2020 |
| Medicare PECOS PAC ID | 3971494519 |
|---|---|
| Medicare Enrollment ID | O20040323000568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073636148 | NPI | - | NPPES |
| 1004328 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4311 (Alaska) | Primary |
| Provider Name | Bart D Worthington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205274347 PECOS PAC ID: 9739481193 Enrollment ID: I20200929002996 |
| Provider Name | Ferdinand Akoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154893618 PECOS PAC ID: 5799119194 Enrollment ID: I20220622001735 |
| Provider Name | Torrence Nicholson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437317385 PECOS PAC ID: 2769524982 Enrollment ID: I20220919001017 |
Polar Wind Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1867 Airport Way Ste 140a, Fairbanks, AK 99701 Phone: 907-457-9355 Fax: 907-457-9356 | |
Alaska Occupational Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1919 Lathrop St Ste 203, Fairbanks, AK 99701 Phone: 907-456-2825 Fax: 907-451-0742 | |
University Of Alaska Fairbanks Center For Health & Counseling Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 N. Chandalar Dr., Fairbanks, AK 99775 Phone: 907-474-7043 Fax: 907-474-5777 | |
Joseph Daniel Grimes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-3345 | |
Linda L Garcia Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Kellum St Ste 201, Fairbanks, AK 99701 Phone: 907-378-8119 Fax: 907-488-5539 | |
Tanana Valley Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Noble St, Fairbanks, AK 99701 Phone: 907-459-3500 | |
Tanana Valley Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Kellum St, Fairbanks, AK 99701 Phone: 907-459-3500 |