NPIMap

Organization Active NPI

University of Alaska Fairbanks Center for Health & Counseling

  • Student Health Clinic/Center
  • Fairbanks, AK
National Provider Identifier
1043358062
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
UNIVERSITY OF ALASKA FAIRBANKS CENTER FOR HEALTH & COUNSELING
Practice address
612 N. Chandalar Dr.
Fairbanks, AK 99775-5580
Phone
(907) 474-7043
Fax
(907) 474-5777
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Fellerath
Title
Director
Phone
(907) 474-7043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

612 N. Chandalar Dr.
Fairbanks, AK 99775-5580

Mailing address

PO Box 755580
Fairbanks, AK 99775-5580
Phone (907) 474-7043

National Provider Directory

National Provider Directory
Tax ID family
University of Alaska Fairbanks Center for Health Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

612 N Chandalar Dr
Fairbanks, AK 99775
Phone (907) 474-7043

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043358062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 755580",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997755580",
            "telephone_number": "907-474-7043",
            "fax_number": "907-474-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N. CHANDALAR DR.",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997755580",
            "telephone_number": "907-474-7043",
            "fax_number": "907-474-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ALASKA FAIRBANKS CENTER FOR HEALTH & COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FELLERATH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "907-474-7043",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.