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FAIRBANKS MEMORIAL HOSPITAL NPI 1669410767


NPI Information

NPI: 1669410767
Provider Name: FAIRBANKS MEMORIAL HOSPITAL

Doing Business As: BANNER HOME MEDICAL EQUIPMENT FMH

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 03D0526219

Address:
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
Phone: (907) 458-5421
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FAIRBANKS MEMORIAL HOSPITAL 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 HOSPITAL NPI is 1669410767. The provider is registered as an organization entity type.
The provider Is Doing Business As Banner Home Medical Equipment Fmh.

The provider's business location address is:

1650 COWLES ST
FAIRBANKS, AK
ZIP 99701-925
Phone: (907) 458-5421

The provider's authorized official is Dennis E Dahlen .
The authorized official title is Sr Vice President and has the following contact phone number (602) 747-4000.

The CLIA number assigned to this NPI record is 03D0526219 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 4/24/2009.


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
1MS 8060MEDICAIDALASKA
20466030001MEDICARE NSCALASKA

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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