OrganizationActive
Fairbanks Clinic Inc
NPI 1073636148 · Clinic/Center · Fairbanks, AK
Fairbanks Clinic Inc is a Clinic/Center organization in Fairbanks, AK (NPI 1073636148).
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
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1405 Kellum St Ste 201
Fairbanks, AK 99701-4189
Phone: (907) 452-1761
Fax: (844) 531-0274
Street-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
Frequently asked questions
- What is Fairbanks Clinic Inc's NPI number?
- Fairbanks Clinic Inc's National Provider Identifier (NPI) is 1073636148, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairbanks Clinic Inc?
- Fairbanks Clinic Inc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fairbanks Clinic Inc located?
- Fairbanks Clinic Inc's practice location on file with NPPES is 1405 Kellum St Ste 201, Fairbanks, AK 99701-4189.
- What is Fairbanks Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Fairbanks Clinic Inc is (907) 452-1761.
- Who is the authorized official for Fairbanks Clinic Inc?
- The authorized official listed on Fairbanks Clinic Inc's NPPES record is Tony Nimeh, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairbanks Clinic Inc's NPI active?
- Yes — Fairbanks Clinic Inc's NPI (1073636148) is active in the NPPES registry as of the last update on 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.