CHIEF ANEDREW ISAAC HEALTH CENTER (NPI# 1891097697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891097697 |
| Entity Type | Organization |
| Organization Name | CHIEF ANEDREW ISAAC HEALTH CENTER |
| Practice Address |
1408 19th Ave Fairbanks AK 99701-5903 |
| Practice Telephone | 9074516682 |
| Practice Fax Number | 9074583817 |
| Mailing Telephone | 9074516682 |
| Mailing Fax Number | 9074583817 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |
| Authorized Official Name | MRS. MICHELLE COE (REGISTERED NURSE) |
| Authorized Official Telephone | 9074516683 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
6337 | AK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | STATE OF ALASKA | 6337 | 01 |
| Street Address |
1408 19TH AVE |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-5903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699763342 | Dean Latham Zuelsdorf | Psychologist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2005-10-06 |
| 1518214675 | Stasha Goodin | Pharmacist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2012-08-08 |
| 1518213685 | Derek M Weber | Pharmacist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2012-07-26 |
| 1962757435 | Janet Richardson | Pharmacist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2012-07-19 |
| 1083977961 | Carol Indorf | Registered Nurse | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2012-06-17 |
| 1700114733 | Christinia Yvonne Smith | Licensed Practical Nurse | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2009-12-02 |
| 1992944128 | Clinton James Smith | Pharmacist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2009-02-11 |
| 1487807749 | Susan Louise Robinson | Licensed Practical Nurse | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2008-10-30 |
| 1548422884 | Rita S Osborne | Dietitian, Registered | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2008-06-27 |
| 1174784391 | Kimberly Lynn Gebauer | Registered Nurse | 1408 19th Ave, 4th Floor, Clinical Nursing, Fairbanks, AK 99701-5903 | 2008-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639652662 | Southcentral Foundation | Clinic/Center | 26341 Eklutna Village Rd, Chugiak, AK 99567-5148 | 2018-09-14 |
| 1881047108 | Aleutian Pribilof Islands Association | Clinic/Center | 111 Lakeview Rd., Nikolski, AK 99638 | 2016-07-21 |
| 1609232040 | Southcentral Foundation | Clinic/Center | 101 Indian Creek Road, Tyonek, AK 99682 | 2016-01-14 |
| 1235595562 | Chitina Traditional Indian Village Council | Clinic/Center | Mile 28.5 Edgerton Hwy, Chitina, AK 99566 | 2015-12-31 |
| 1770953903 | Southcentral Foundation | Clinic/Center | 1 Flight Line Rd, Port Alsworth, AK 99653-9801 | 2015-09-30 |
| 1144699216 | Southcentral Foundation | Clinic/Center | 4030 Salmon Way, Iguigig, AK 99613 | 2015-09-18 |
| 1295104644 | Southcentral Foundation | Clinic/Center | 102 Fireweed Lane, Newhalen, AK 99606 | 2015-09-16 |
| 1952770307 | Southcentral Foundation | Clinic/Center | 2516 Mountain Circle, Pedro Bay, AK 99647 | 2015-09-16 |
| 1205255957 | Front Street Health Center | Clinic/Center | 225 Front St Ste 202, Juneau, AK 99801-1244 | 2014-04-09 |
| 1043632037 | Southcentral Foundation | Clinic/Center | 11495 N Callison Street, Sutton, AK 99674 | 2014-01-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.