TANANA VALLEY CLINIC
NPI 1184691743
Clinic/Center in Fairbanks, AK

NPI Status: Active since March 02, 2006

Contact Information

1001 NOBLE ST
FAIRBANKS, AK
ZIP 99701
Phone: (907) 459-3507
Fax: (907) 459-3532

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  • Organization
  • Clinic/Center

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 Clinic/center. The healthcare provider is registered in the NPI registry with number 1184691743 assigned on March 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Tanana Valley Clinic. The authorized official of this NPI record is Mr. James Shill Mba (Ceo)

NPI
1184691743
Provider Legal Name
TANANA VALLEY MEDICAL SURGICAL GROUP INC
Other Organization Name
TANANA VALLEY CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1001 NOBLE ST FAIRBANKS, AK 99701
Location Phone
(907) 459-3507
Location Fax
(907) 459-3532
Mailing Address
1001 NOBLE ST FAIRBANKS, AK 99701
Mailing Phone
(907) 459-3507
Mailing Fax
(907) 459-3532
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-02-2006
Last Update Date
05-24-2012
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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.

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. JAMES SHILL MBA

Authorized Official Title
CEO
Authorized Official Phone
(907) 459-3509

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
GR0118MEDICAID (05)AK 
K0000WCGPDMEDICARE PIN (08)AK 
CE7854OTHER (01)AKMEDICARE RAILROAD
0361450001MEDICARE NSC (07)AK 

Reviews for TANANA VALLEY CLINIC

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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.
1184691743
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21164129278
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 2 + 9 + 2 + 7 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1184691743 is valid because the calculated check digit 3 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
1487733432DR. JEFFREY JAMES GAARDER PHARM D
Individual
Pharmacist1001 NOBLE ST
FAIRBANKS, AK 99701
(907) 452-2556
1811062292DR. FERNANDO BARRERA DDS
Individual
Dentist (General Practice)1001 NOBLE ST SUITE #420
FAIRBANKS, AK 99701
(907) 479-6400
1396892576EYE CLINIC OF FAIRBANKS
Organization
Optometrist1001 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
1760637847DR. JAMES SCOTT FUZZARD M.D.
Individual
Radiology (Diagnostic Radiology)1001 NOBLE ST
FAIRBANKS, AK 99701
(907) 459-3500
1104067560TANANA VALLEY CLINIC
Organization
Durable Medical Equipment & Medical Supplies1001 NOBLE ST
FAIRBANKS, AK 99701
(907) 459-3500
1902126790DR. STEVEN CHARLES MILLER PHARM.D.
Individual
Pharmacist1001 NOBLE ST
FAIRBANKS, AK 99701
(907) 452-2556
1205146859PROFESSIONAL PHARMACY LLC
Organization
Pharmacy (Community/Retail Pharmacy)1001 NOBLE ST
FAIRBANKS, AK 99701
(907) 452-2556
1457693483 EDWARD ALFRED MISSLER RPH
Individual
Pharmacist1001 NOBLE ST PROFESSIONAL PHARMACY
FAIRBANKS, AK 99701
(907) 452-2556
1275758583 GABE VICTOR SCHULDT MD
Individual
Family Medicine1001 NOBLE ST
FAIRBANKS, AK 99701
(907) 459-3500
1962803908BANNER HEALTH PHYSICIANS ALASKA LLC
Organization
Clinic/Center (Multi-Specialty)1001 NOBLE ST
FAIRBANKS, AK 99701
(907) 459-3507
1497841910DR. DANIEL F REYNOLDS D.O.
Individual
Family Medicine1001 NOBLE ST
FAIRBANKS, AK 99701
(907) 459-3500
1649389503 DANTE MARIA CONLEY MD
Individual
Surgery1001 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
1083819460DR. PETER JOHN DILLON JR. M.D.
Individual
Family Medicine1001 NOBLE ST
FAIRBANKS, AK 99701
(907) 459-3500
1598081606 CELINA MARIE CLIFT M. D.
Individual
Pediatrics1001 NOBLE ST
FAIRBANKS, AK 99701
(907) 459-3500
1235434531MRS. 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 Medicine1001 NOBLE ST
FAIRBANKS, AK 99701
(907) 459-3500
1780948026 CLAIRE M STOLTZ MD
Individual
Family Medicine1001 NOBLE ST
FAIRBANKS, AK 99701
(907) 459-3500
1982846267DR. KERRY PHILLIP WAPPETT M.D.
Individual
Obstetrics & Gynecology1001 NOBLE ST
FAIRBANKS, AK 99701
(907) 459-3500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184691743, enumerated in the NPI registry as an "organization" on March 02, 2006

The provider is located at 1001 Noble St Fairbanks, Ak 99701 and the phone number is (907) 459-3507

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

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

This NPI record was last updated on March 02, 2006. 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.