Active NPI
Margaret M Wilson
- Multi-Specialty Clinic/Center
- Fairbanks, AK
National Provider Identifier
1225273667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- 4284
- Practice address
- 1408 19TH Ave.
Chief Andrew Isaac Health Clinic
Fairbanks, AK 99701 - Phone
- (907) 451-6681
- NPI assigned
- Dec 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 4284 | AK | Primary |
Addresses
Primary practice location
1408 19TH Ave.
Chief Andrew Isaac Health Clinic
Fairbanks, AK 99701
Mailing address
520 Aquila St
Fairbanks, AK 99712-1320
Phone (907) 457-7798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4284 | AK | MD | Multi-Specialty Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229299200000",
"number": "1225273667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 AQUILA ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997121320",
"telephone_number": "907-457-7798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 19TH AVE.",
"address_2": "CHIEF ANDREW ISAAC HEALTH CLINIC",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "99701",
"telephone_number": "907-451-6681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MARGARET",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-15",
"last_updated": "2008-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "AK",
"license": "4284",
"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 Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.