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FAIRBANKS MEMORIAL HOME MEDICAL EQUIPMENT, LLC
NPI 1003366048
Durable Medical Equipment & Medical Supplies in Fairbanks, AK

Active since October 13, 2016CLIA 02D0641210 · Accreditation
1701 GILLAM WAY STE B, FAIRBANKS, AK 99701(907) 458-5421(907) 458-5026 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2026, Oct 2, 2023, Apr 28, 2022 and 5 more (8 updates tracked since 2016).

About Fairbanks Memorial Home Medical Equipment, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRBANKS MEMORIAL HOME MEDICAL EQUIPMENT, LLC (NPI 1003366048) is a healthcare organization registered as a durable medical equipment & medical supplies in Fairbanks, Alaska and active in the NPI registry since October 2016. The organization holds an CLIA Accreditation certificate valid through September 7, 2027 and lists Anthony G Sudduth, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003366048
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameFAIRBANKS MEMORIAL HOME MEDICAL EQUIPMENT, LLC
Location Address1701 GILLAM WAY STE BFairbanks, AK 99701-6056
Mailing Address1650 Cowles StFairbanks, AK 99701-5907 · (907) 458-5421 · Fax (907) 458-5026
Phone(907) 458-5421
Fax(907) 458-5026
Organization SubpartYesParent: Foundation Health Llc
Authorized OfficialAnthony G SudduthCfo · (907) 458-5300
Enumeration DateOctober 13, 2016
Last NPPES UpdateMarch 9, 20268 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1003366048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1701 GILLAM WAY STE B, Fairbanks, AK 99701
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Other Identifiers 1

Medicaid1662831AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 02D0641210

Foundation Health, LLC Dba Fairbanks Memorial Hospital · Fairbanks, AK
Active · expires Sep 7, 2027
CLIA Number02D0641210
Laboratory TypeHospital
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorDr. Andrew J. Evanger
Laboratory Phone(907) 458-5640
Laboratory LocationFoundation Health, LLC Dba Fairbanks Memorial Hospital1650 Cowles St, Fairbanks, AK 99701
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairbanks Memorial Home Medical Equipment, LLC's NPI number?

The NPI number for Fairbanks Memorial Home Medical Equipment, LLC is 1003366048. It was assigned to this organization in the NPPES registry on October 13, 2016.

Where is Fairbanks Memorial Home Medical Equipment, LLC located?

Fairbanks Memorial Home Medical Equipment, LLC is located at 1701 Gillam Way Ste B, Fairbanks, AK 99701. The listed phone number is (907) 458-5421.

What is Fairbanks Memorial Home Medical Equipment, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Fairbanks Memorial Home Medical Equipment, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 02D0641210) is associated with this NPI, valid through September 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fairbanks Memorial Home Medical Equipment, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Fairbanks Memorial Home Medical Equipment, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fairbanks Memorial Home Medical Equipment, LLC was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.