OrganizationActive
Tanana Valley Clinic LLC
NPI 1063980118 · Multi-Specialty Clinic/Center · Fairbanks, AK
Provider details
- NPI number
- 1063980118
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Foundation Health LLC
- Organization subpart
- Yes
- Authorized official
- Stephen Leslie, Cfo(907) 458-3310
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1101 Noble St
Fairbanks, AK 99701-4924
Phone: (907) 459-3500
Street-level locationGet directions
Mailing address
Po Box 73720
Fairbanks, AK 99707-3720
Registry dates
- Enumerated
- 2018-11-07
- Last updated
- 2018-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.