Organization · Type 2 NPI

Fairbanks Memorial Hospital

Home Health Agency · Fairbanks, AK

NPI number 1265470298 Active

Practice location

1701 Gillam Way
Fairbanks, AK 99701-6056

Call (907) 458-5410 Map

Fax (907) 458-5412

Mailing address

1441 N 12th St
Phoenix, AZ 85006-2837

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1265470298
Entity type: Organization (Type 2)
Issued: Jun 3, 2006
Last updated: Apr 28, 2015
Status: Active
Subpart: Yes of Banner Health

Other names

<unavail>
Fairbanks Memorial Hospital Home Care · doing business as

Authorized official

Dennis E Dahlen
SR Vice President Finance
(602) 747-4000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265470298

Fairbanks Memorial Hospital's National Provider Identifier is 1265470298, issued on Jun 3, 2006. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Fairbanks, AK. The record was last updated on Apr 28, 2015.