FAIRBANKS NORTHSTAR BOROUGH VAN TRAN
NPI 1063668861
Non-emergency Medical Transport (VAN) in Fairbanks, AK

NPI Status: Active since August 12, 2008

Contact Information

501 CUSHMAN ST
FAIRBANKS, AK
ZIP 99701
Phone: (907) 459-1010
Fax: (907) 459-7908

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  • Organization
  • Non-emergency Medical Transport (VAN)
  • CLIA Number: 02D2245629
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About FAIRBANKS NORTHSTAR BOROUGH VAN TRAN

This page provides the complete NPI Profile along with additional information for Fairbanks Northstar Borough Van Tran, a provider established in Fairbanks, Alaska operating as a Non-emergency Medical Transport (van). The healthcare provider is registered in the NPI registry with number 1063668861 assigned on August 2008. The practitioner's primary taxonomy code is 343900000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Glenn Miller (Transportation Director)

NPI
1063668861
Provider Name
FAIRBANKS NORTHSTAR BOROUGH VAN TRAN
Entity Type
Organization
Location Address
501 CUSHMAN ST FAIRBANKS, AK 99701
Location Phone
(907) 459-1010
Location Fax
(907) 459-7908
Mailing Address
3175 PEGER RD ATTN: VAN TRAN FAIRBANKS, AK 99709
Mailing Phone
(907) 459-1010
Mailing Fax
(907) 459-7908
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-12-2008
Last Update Date
08-12-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-emergency Medical Transport (VAN)

Taxonomy Code
343900000X
Type
Transportation Services
License State
AK
Taxonomy Description
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. GLENN MILLER

Authorized Official Title
TRANSPORTATION DIRECTOR
Authorized Official Phone
(907) 459-1007

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
HC3175MEDICAID (05)AK 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
02D2245629
Facility Type
Community Clinic
Certificate Effective Date
December 15, 2021
Certificate Expiration Date
May 22, 2026
Laboratory Director
NENA WENDZEL
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Fairbanks Northstar Borough Van Tran on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for FAIRBANKS NORTHSTAR BOROUGH VAN TRAN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063668861
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2012312616812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 6 + 1 + 6 + 8 + 1 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1063668861 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063668861, enumerated in the NPI registry as an "organization" on August 12, 2008

The provider is located at 501 Cushman St Fairbanks, Ak 99701 and the phone number is (907) 459-1010

This medical organization specializes in Non-emergency Medical Transport (VAN) with taxonomy code 343900000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 02D2245629 for a "community clinic" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on August 12, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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