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Contact Information

FAIRBANKS CANCER CARE PHYSICIANS
1640 COWLES ST
SUITE 1
FAIRBANKS, AK99701-5925
 Phone: 907-452-4768
 Fax: 907-452-1009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for FAIRBANKS CANCER CARE PHYSICIANS

NPI # 1386759470
LBN Legal business name FAIRBANKS CANCER CARE PHYSICIANS
Authorized official JACQUELINE COX - (CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2006
Last updated 03/26/2013 - About 13 years ago
Identifiers
AK License # 926150
AK Medicaid MD14421
AK Medicaid MD6153
AK Medicaid MD69431
AK Medicaid MDG543
AK Medicaid MPG0088
AK Medicaid NP7619
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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