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Organization
TANANA VALLEY CLINIC LLC
Active
Organization
TANANA VALLEY CLINIC LLC
Active
Parent organization
FOUNDATION HEALTH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUNDATION HEALTH LLC
Authorized official
ANTHONY G SUDDUTH (CFO)
(907) 458-5300
Entity
Organization
Contact information
Practice address
1001 NOBLE ST, FAIRBANKS, AK 99701-4948
(907) 459-3500
(907) 459-3526
Mailing address
PO BOX 73720, FAIRBANKS, AK 99707-3720
(907) 459-3500
(907) 459-3526
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
NULL
103TP2701X
Group Psychotherapy Psychologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
1043161
AK
Other
Enumeration date
10/19/2016
Last updated
07/15/2025
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