OrganizationActive
Interior Community Health Center
NPI 1588739015 · Federally Qualified Health Center (FQHC) · Fairbanks, AK
Provider details
- NPI number
- 1588739015
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cheryl Kilgore, Executive Director(907) 455-4567
Specialties & taxonomies
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
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
1606 23rd Ave
Fairbanks, AK 99701-6407
Phone: (907) 455-4567
Street-level locationGet directions
Mailing address
1606 23rd Ave
Fairbanks, AK 99701-6407
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2012-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.