Interior Community Health Center
LBN: Interior Community Health Center
Interior Community Health Center is an health care organization with primary practice located at 1606 23Rd Ave , Fairbanks AK 99701-6407. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Interior Community Health Center can be contacted via phone (907) 455-4567, or through Kilgore, Cheryl via phone (907) 455-4567.
Contact Information
Primary practice address
1606 23Rd Ave
Fairbanks AK 99701-6407
Phone: (907) 455-4567
Fax: (907) 458-1589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1457552903 |
|---|---|
| LBN Legal business name | Interior Community Health Center |
| DBA Doing business as | |
| Authorized official | Kilgore, Cheryl |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 31st, 2007 |
| Last updated | Aug 4th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457552903 | NPPES |
| Other | 02D0876889 | CLIA | |
| Other | 02D0902300 | CLIA |
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