OrganizationActive
Fairbanks Clinic Inc
NPI 1073636148 · Clinic/Center · Fairbanks, AK
Provider details
- NPI number
- 1073636148
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tony Nimeh, Owner(617) 686-6809
- License
- 4311 (AK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1405 Kellum St Ste 201
Fairbanks, AK 99701-4189
Phone: (907) 452-1761
Fax: (844) 531-0274
Approximate (ZIP-level) locationGet directions
Mailing address
607 Old Steese Hwy Ste B307
Fairbanks, AK 99701-3163
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2020-12-10
- Certified
- 2020-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.