FAIRBANKS MEMORIAL HOME MEDICAL EQUIPMENT, LLC
NPI 1003366048
Durable Medical Equipment & Medical Supplies in Fairbanks, AK
NPI Status: Active since October 13, 2016
Contact Information
1701 GILLAM WAY STE B
FAIRBANKS, AK
ZIP 99701
Phone: (907) 458-5421
Fax: (907) 458-5026
- Organization
- Durable Medical Equipment & Medical Supp...
- Accepts Insurance
- CLIA Number: 02D0641210
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 09-07-2027
About FAIRBANKS MEMORIAL HOME MEDICAL EQUIPMENT, LLC
This page provides the complete NPI Profile along with additional information for Fairbanks Memorial Home Medical Equipment, Llc, a provider established in Fairbanks, Alaska operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1003366048 assigned on October 2016. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Anthony G Sudduth (Cfo)
- NPI
- 1003366048
- Provider Name
- FAIRBANKS MEMORIAL HOME MEDICAL EQUIPMENT, LLC
- Entity Type
- Organization
- Location Address
- 1701 GILLAM WAY STE B FAIRBANKS, AK 99701
- Location Phone
- (907) 458-5421
- Location Fax
- (907) 458-5026
- Mailing Address
- 1650 COWLES ST FAIRBANKS, AK 99701
- Mailing Phone
- (907) 458-5421
- Mailing Fax
- (907) 458-5026
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-13-2016
- Last Update Date
- 03-09-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1662831 | MEDICAID (05) | AK |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 02D0641210
- Facility Type
- Hospital
- Certificate Effective Date
- September 08, 2025
- Certificate Expiration Date
- September 07, 2027
- Laboratory Director
- DR. ANDREW J. EVANGER
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Fairbanks Memorial Home Medical Equipment, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003366048, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003366048, enumerated as an "organization" on October 13, 2016.
The provider is located at 1701 GILLAM WAY STE B FAIRBANKS, AK 99701 and the phone number is (907) 458-5421.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.
