Tanana Valley Clinic

LBN: Tanana Valley Medical Surgical Group Inc
Tanana Valley Clinic is an health care organization with primary practice located at 1001 Noble St , Fairbanks AK 99701-4922. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Tanana Valley Medical Surgical Group Inc can be contacted via phone (907) 459-3507, or through Shill, James via phone (907) 459-3509.

Contact Information

Primary practice address
1001 Noble St Fairbanks AK 99701-4922
Phone: (907) 459-3507
Fax: (907) 459-3532
Website:
Map and Directions
Authorized official contact:
Name: Shill, James MBA
Phone: (907) 459-3509

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1184691743
LBN Legal business name Tanana Valley Medical Surgical Group Inc
DBA Doing business as Tanana Valley Clinic
Authorized official Shill, James MBA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2006
Last updated May 24th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184691743 NPPES
Alaska MEDICAID GR0118
Alaska Other CE7854

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