A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC; NPI #1134990336

Contact Information

A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC

282 BENTLEY TRUST ROAD SUITE B
FAIRBANKS, AK 99701

Phone: 907-744-1944
Fax: 907-921-7669
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC

NPI #	`1134990336`
LBN Legal business name	A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC
Authorized official	EDWARD KRAMM - (CHIEF EXECUTIVE OFFICER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	01/16/2024
Last updated	05/13/2026 - About 3 weeks ago
Identifiers	n/a

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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A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC

Contact Information

Specialty

Multi-Specialty

NPI Profile & details for A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC

Reviews for A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC