Thomas Bedford
Individual provider Active NPI Community Health Worker · Fairbanks, AK
NPI 1083443170 · NPPES record last updated Jul 29, 2024
Key facts
- NPI
- 1083443170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 209 Forty Mile Ave
Fairbanks, AK 99701-3110 - Phone
- (907) 456-6445
- NPI assigned
- Jul 29, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
209 Forty Mile Ave
Fairbanks, AK 99701-3110
Mailing address
209 Forty Mile Ave
Fairbanks, AK 99701-3110
Phone (907) 456-6445
Other providers in Fairbanks, AK
- Robert David Beck
- Berthania De Guadalupe Beckett
- Xavier Beckford
- Bernice Charlene Beddoe
- Amanda Bedford
- Brandee Beers
- Matilda Behnke-Cheatham
- Dorothy Ella Bekoalok
- Lisa Marie Belcher
- Lenamarie Ann Belgarde
All providers in Fairbanks, AK · Community Health Worker in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.