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Fairbanks Clinic Inc
Clinic/Center in Fairbanks, Alaska
NPI 1073636148

Fairbanks Clinic Inc is a Clinic/Center based in Fairbanks, AK. Fairbanks Clinic Inc practices in Fairbanks, AK. The NPI Number for Fairbanks Clinic Inc is 1073636148 and holds a License No. 4311 (Alaska).

The current practice location address for Fairbanks Clinic Inc is 1405 Kellum St Ste 201, Fairbanks, AK and can be reached out via phone at 907-452-1761 and via fax at 844-531-0274.

Location: 1405 Kellum St Ste 201, Fairbanks, AK, 99701-3163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073636148
Provider Name
Fairbanks Clinic Inc
Credential
Provider Entity Type
Organization
Address
1405 Kellum St Ste 201, Fairbanks, AK, 99701-3163
Phone Number
907-452-1761
Fax Number
844-531-0274
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1004328 05 AK
institution
Provider Business Practice Location Address Details
Address
1405 Kellum St Ste 201
City
Fairbanks
State
Alaska
Zip
99701-4189
Phone Number
907-452-1761
Fax Number
844-531-0274
person
Provider Business Mailing Address Details
Address
1405 Kellum St Ste 201
City
Fairbanks
State
Alaska
Zip
99701-4189
Phone Number
907-452-1761
Fax Number
844-531-0274
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
4311 (Alaska)
Definition
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).
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