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FAIRBANKS MEMORIAL HOME MEDICAL EQUIPMENT LLC NPI 1003366048


NPI Information

NPI: 1003366048
Provider Name: FAIRBANKS MEMORIAL HOME MEDICAL EQUIPMENT, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1701 GILLAM WAY STE B
FAIRBANKS, AK
ZIP 99701
Phone: (907) 458-5421
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FAIRBANKS MEMORIAL HOME MEDICAL EQUIPMENT, LLC is a durable medical equipment medical supplies in Fairbanks, AK. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. FAIRBANKS MEMORIAL HOME MEDICAL EQUIPMENT, LLC NPI is 1003366048. The provider is registered as an organization entity type.

The provider's business location address is:

1701 GILLAM WAY STE B
FAIRBANKS, AK
ZIP 99701-056
Phone: (907) 458-5421
Fax: (907) 458-5026

The provider's authorized official is Gary Roderick .
The authorized official title is Cfo and has the following contact phone number (907) 458-3310.

The enumeration date for this NPI number is 10/13/2016 and was last updated on 12/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11662831MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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