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Contact Information

FAIRBANKS MEMORIAL PHYSICIAN SPECIALITIES
1650 COWLES ST
FAIRBANKS, AK99701-5925
 Phone: 907-452-8181
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for FAIRBANKS MEMORIAL PHYSICIAN SPECIALITIES

NPI Number 1386763290
LBN Legal business name FAIRBANKS MEMORIAL PHYSICIAN SPECIALITIES
Authorized official DENNIS DAHLEN - (SR VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2007
Last updated 08/22/2020 - About 6 years 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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