Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fairbanks Clinic Inc

Organization Clinic/Center · NPI 1073636148

Fairbanks Clinic Inc is a Clinic/Center in Fairbanks, Alaska. Licensed in Alaska. Registered with an NPI since 2007.

Licensed in
AK
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1405 Kellum St Ste 201
Fairbanks, AK 99701-4189
Phone: (907) 452-1761
Fax: (844) 531-0274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 4311 (AK)

Record details

NPI number1073636148
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tony Nimeh — Owner · (617) 686-6809
NPI enumeratedApril 6, 2007
Last updated in NPPESDecember 10, 2020
Certification dateDecember 10, 2020
Mailing address607 Old Steese Hwy Ste B307, Fairbanks, AK 99701-3163

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