Interior Community Health Center in Fairbanks - Federally Qualified Health Center (fqhc)
Interior Community Health Center - NPI 1588739015
Interior Community Health Center is a Federally Qualified Health Center (fqhc) in Fairbanks, Alaska. Interior Community Health Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Interior Community Health Center is 1588739015. The last update date is 2012-10-05.
Interior Community Health Center's current location address is 1606 23rd Ave, Fairbanks, Alaska. You can contact this provider via phone number 9074554567. The mailing address for Interior Community Health Center is 1606 23rd Ave, Fairbanks, Alaska. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Interior Community Health Center |
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Address | 1606 23rd Ave, Fairbanks, Alaska |
Phone Number | 9074554567 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Kilgore Cheryl |
Telephone Number | 9074554567 |
NPI Number Detail
NPI Number | 1588739015 |
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Provider Enumeration Date | 2006-11-21 |
Last Updated Date | 2012-10-05 |
Provider Mailing Address Detail
Address | 1606 23rd Ave |
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City | Fairbanks |
State | Alaska (AK) |
Post Code | 997016407 |
Phone Number | 9074554567 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Federally Qualified Health Center (fqhc) |
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Taxonomy | 261Qf0400X |
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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02-1810 | AK | PROVIDER NUMBER |
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What is the unique provider identifier assigned to Interior Community Health Center?
The Interior Community Health Center has been issued the NPI (National Provider Identifier) 1588739015 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Interior Community Health Center located?
The Interior Community Health Center is located at 1606 23Rd Ave, Fairbanks, AK 997016407.
What is the Interior Community Health Center's area of specialization and corresponding taxonomy classification?
The Interior Community Health Center's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
When did the Interior Community Health Center receive its 1588739015?
The Interior Community Health Center was issued its 1588739015 on 2006-11-21, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Interior Community Health Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Interior Community Health Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-10-05.