Organization Active NPI

Chief Anedrew Isaac Health Center

  • Community Health Clinic/Center
  • Fairbanks, AK
National Provider Identifier
1891097697
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
6337 Issued in AK
Legal business name
CHIEF ANEDREW ISAAC HEALTH CENTER
Practice address
1408 19TH Ave
Fairbanks, AK 99701-5903
Phone
(907) 451-6682
Fax
(907) 458-3817
NPI assigned
Nov 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Mrs. Michelle Coe, RN
Title
Registered Nurse
Phone
(907) 451-6683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 6337 AK Primary

Addresses

Primary practice location

1408 19TH Ave
Fairbanks, AK 99701-5903

Mailing address

1408 19TH Ave
Fairbanks, AK 99701-5903
Phone (907) 451-6682

Other identifiers 1

IdentifierTypeStateIssuer
6337OtherAKSTATE OF ALASKA

National Provider Directory

National Provider Directory
Tax ID family
Tanana Chiefscon38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1891097697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 19TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015903",
            "telephone_number": "907-451-6682",
            "fax_number": "907-458-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 19TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015903",
            "telephone_number": "907-451-6682",
            "fax_number": "907-458-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIEF ANEDREW ISAAC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "COE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "907-451-6683",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "AK",
            "license": "6337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALASKA",
            "identifier": "6337",
            "state": "AK"
        }
    ],
    "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 Apr 25, 2025; 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.