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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
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
Mailing address
1825 Marika Rd
Fairbanks, AK 99709-5521
Registry dates
- Enumerated
- 2022-12-01
- Last updated
- 2022-12-01
- Certified
- 2022-12-01
Frequently asked questions
- 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.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.