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Contact Information

CHEST MEDICINE FAIRBANKS,P.C
1650 COWLES ST
FAIRBANKS, AK99701-5998
 Phone: 907-456-3750
 Fax: 907-451-1701
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CHEST MEDICINE FAIRBANKS,P.C

NPI # 1568580850
LBN Legal business name CHEST MEDICINE FAIRBANKS,P.C
Authorized official OWEN HANLEY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2007
Last updated 12/15/2010 - About 15 years ago
Identifiers
AK License # 1350
AK Medicaid MDG499
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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