TANANA VALLEY CLINIC
NPI 1104067560
Durable Medical Equipment & Medical Supplies in Fairbanks, AK
NPI Status: Active since March 16, 2009
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 02D2232615
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-15-2025
About TANANA VALLEY CLINIC
This page provides the complete NPI Profile along with additional information for Tanana Valley Clinic, a provider established in Fairbanks, Alaska operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1104067560 assigned on March 2009. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dennis Dahlen (Sr Vp Finance)
- NPI
- 1104067560
- Provider Name
- TANANA VALLEY CLINIC
- Entity Type
- Organization
- Location Address
- 1001 NOBLE ST FAIRBANKS, AK 99701
- Location Phone
- (907) 459-3500
- Mailing Address
- 1441 N 12TH ST PHOENIX, AZ 85006
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-16-2009
- Last Update Date
- 03-16-2009
- Code Navigator
Location Map
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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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.
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 |
|---|---|---|---|
| 0361450001 | MEDICARE NSC (07) | 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
- 02D2232615
- Facility Type
- Physician Office
- Certificate Effective Date
- August 16, 2023
- Certificate Expiration Date
- August 15, 2025
- Laboratory Director
- SARAH R. MARTIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Tanana Valley Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for TANANA VALLEY CLINIC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 1 | 0 | 4 | 0 | 6 | 7 | 5 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 0 | 6 | 14 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 0 + 6 + 1 + 4 + 5 + 1 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1104067560 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1184691743 | TANANA VALLEY MEDICAL SURGICAL GROUP INC Organization | Clinic/Center | 1001 NOBLE ST FAIRBANKS, AK 99701 (907) 459-3507 |
| 1487733432 | DR. JEFFREY JAMES GAARDER PHARM D Individual | Pharmacist | 1001 NOBLE ST FAIRBANKS, AK 99701 (907) 452-2556 |
| 1811062292 | DR. FERNANDO BARRERA DDS Individual | Dentist (General Practice) | 1001 NOBLE ST SUITE #420 FAIRBANKS, AK 99701 (907) 479-6400 |
| 1396892576 | EYE CLINIC OF FAIRBANKS Organization | Optometrist | 1001 NOBLE ST SUITE 410 FAIRBANKS, AK 99701 (907) 458-7768 |
| 1295929537 | ROBIN MARQUISS O.P. Individual | Technician/Technologist (Optician) | 1001 NOBLE ST SUITE 410 FAIRBANKS, AK 99701 (907) 456-7760 |
| 1760637847 | DR. JAMES SCOTT FUZZARD M.D. Individual | Radiology (Diagnostic Radiology) | 1001 NOBLE ST FAIRBANKS, AK 99701 (907) 459-3500 |
| 1902126790 | DR. STEVEN CHARLES MILLER PHARM.D. Individual | Pharmacist | 1001 NOBLE ST FAIRBANKS, AK 99701 (907) 452-2556 |
| 1205146859 | PROFESSIONAL PHARMACY LLC Organization | Pharmacy (Community/Retail Pharmacy) | 1001 NOBLE ST FAIRBANKS, AK 99701 (907) 452-2556 |
| 1457693483 | EDWARD ALFRED MISSLER RPH Individual | Pharmacist | 1001 NOBLE ST PROFESSIONAL PHARMACY FAIRBANKS, AK 99701 (907) 452-2556 |
| 1275758583 | GABE VICTOR SCHULDT MD Individual | Family Medicine | 1001 NOBLE ST FAIRBANKS, AK 99701 (907) 459-3500 |
| 1962803908 | BANNER HEALTH PHYSICIANS ALASKA LLC Organization | Clinic/Center (Multi-Specialty) | 1001 NOBLE ST FAIRBANKS, AK 99701 (907) 459-3507 |
| 1497841910 | DR. DANIEL F REYNOLDS D.O. Individual | Family Medicine | 1001 NOBLE ST FAIRBANKS, AK 99701 (907) 459-3500 |
| 1649389503 | DANTE MARIA CONLEY MD Individual | Surgery | 1001 NOBLE ST FAIRBANKS, AK 99701 (907) 459-3500 |
| 1346350246 | NANCY MARIE COX CPNP Individual | Nurse Practitioner (Pediatrics) | 1001 NOBLE ST FAIRBANKS, AK 99701 (907) 459-3500 |
| 1083819460 | DR. PETER JOHN DILLON JR. M.D. Individual | Family Medicine | 1001 NOBLE ST FAIRBANKS, AK 99701 (907) 459-3500 |
| 1598081606 | CELINA MARIE CLIFT M. D. Individual | Pediatrics | 1001 NOBLE ST FAIRBANKS, AK 99701 (907) 459-3500 |
| 1235434531 | MRS. ANGELA KAY BROWN LMHC Individual | Counselor (Mental Health) | 1001 NOBLE ST FAIRBANKS, AK 99701 (515) 724-8920 |
| 1467795146 | ASHLEY RAE LUNDGREN STRUM M.D. Individual | Internal Medicine | 1001 NOBLE ST FAIRBANKS, AK 99701 (907) 459-3500 |
| 1780948026 | CLAIRE M STOLTZ MD Individual | Family Medicine | 1001 NOBLE ST FAIRBANKS, AK 99701 (907) 459-3500 |
| 1982846267 | DR. KERRY PHILLIP WAPPETT M.D. Individual | Obstetrics & Gynecology | 1001 NOBLE ST FAIRBANKS, AK 99701 (907) 459-3500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104067560, enumerated in the NPI registry as an "organization" on March 16, 2009
The provider is located at 1001 Noble St Fairbanks, Ak 99701 and the phone number is (907) 459-3500
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X
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 02D2232615 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 16, 2009. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.