What is Terrence Clack's NPI number?

Terrence Clack's National Provider Identifier (NPI) is 1962112813, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Terrence Clack's specialty?

Terrence Clack is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Terrence Clack located?

Terrence Clack's practice location on file with NPPES is 1825 Marika Rd, Fairbanks, AK 99709-5521.

What is Terrence Clack's phone number?

The practice phone number listed in the NPPES registry for Terrence Clack is (907) 474-0890.

Is Terrence Clack's NPI active?

Yes — Terrence Clack's NPI (1962112813) is active in the NPPES registry as of the last update on 2022-12-01.

IndividualActive

Terrence Clack

NPI 1962112813 · Community Health Worker · Fairbanks, AK

Terrence Clack is a Community Health Worker provider in Fairbanks, AK (NPI 1962112813).

Provider details

NPI number: 1962112813
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: Yes
License: 5530941 (AK)

Specialties & taxonomies

Community Health WorkerPrimary172V00000XLicense 5530941 (AK)
Other Service Providers

Profile Score

Established profile(59/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 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

1825 Marika Rd

Fairbanks, AK 99709-5521

Phone: (907) 474-0890

Fax: (907) 474-3621

Street-level locationGet directions

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Mailing address