Tanana Valley Clinic LLC
NPI 1922559558 · Multi-Specialty Clinic/Center · Fairbanks, AK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tanana Valley Clinic LLC is a Multi-Specialty Clinic/Center organization in Fairbanks, AK (NPI 1922559558).
Provider details
- NPI number
- 1922559558
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Foundation Health LLC
- Organization subpart
- Yes
- Authorized official
- Anthony Sudduth, Cfo(907) 458-5300
Specialties & taxonomies
Ambulatory Health Care Facilities
- Group Psychotherapy Psychologist103TP2701X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
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
Mailing address
Additional practice locations (4)
- 1101 Noble StFairbanks, AK 99701-4924Phone: (907) 459-3500Fax: (907) 458-2628
- 2111 Cowles StFairbanks, AK 99701-5918Phone: (907) 459-3500
- 1650 Cowles StFairbanks, AK 99701-5907Phone: (907) 459-3500
- 1919 Lathrop StFairbanks, AK 99701-5937Phone: (907) 459-3500Fax: (907) 459-3526
Registry dates
- Enumerated
- 2016-10-19
- Last updated
- 2025-07-15
- Certified
- 2025-07-15
Frequently asked questions
- What is Tanana Valley Clinic LLC's NPI number?
- Tanana Valley Clinic LLC's National Provider Identifier (NPI) is 1922559558, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tanana Valley Clinic LLC?
- Tanana Valley Clinic LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tanana Valley Clinic LLC located?
- Tanana Valley Clinic LLC's practice location on file with NPPES is 1001 Noble St, Fairbanks, AK 99701-4948.
- What is Tanana Valley Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Tanana Valley Clinic LLC is (907) 459-3500.
- Does Tanana Valley Clinic LLC accept Medicare?
- Tanana Valley Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tanana Valley Clinic LLC?
- The authorized official listed on Tanana Valley Clinic LLC's NPPES record is Anthony Sudduth, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tanana Valley Clinic LLC's NPI active?
- Yes — Tanana Valley Clinic LLC's NPI (1922559558) is active in the NPPES registry as of the last update on 2025-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.