FAIRBANKS URGENT CARE CENTER – NPI #1437224573
Clinic/Center

FAIRBANKS URGENT CARE CENTER is an AHC clinic located in FAIRBANKS, AK. NPPES has assigned the NPI number 1437224573 to FAIRBANKS URGENT CARE CENTER on November 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FAIRBANKS URGENT CARE CENTER” is a dba name, the actual legal business name for this organization is MOONGANG INC. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 18 years ago on Jun 25, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAIRBANKS URGENT CARE CENTER below.

NPI Profile for
MOONGANG INC

NPI Number
1437224573
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOONGANG INC
Doing Business As (dba): FAIRBANKS URGENT CARE CENTER
Primary location
1867 AIRPORT WAY
STE 130B
FAIRBANKS, AK 99701-4056
Phone: (907) 452-2178 Fax: (907) 452-3524
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LEONIE DERAMUS
PRESIDENT
Phone: (907) 452-2178
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.