FAIRBANKS MEMORIAL CARDIOLOGY CENTER, LLC
NPI 1386193472
Clinic/Center - Multi-Specialty in Fairbanks, AK

Active since September 29, 2016
1650 COWLES ST DEPT 60A, FAIRBANKS, AK 99701(907) 458-5525 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 14, 2026, Nov 12, 2024, Oct 2, 2023 and 3 more (6 updates tracked since 2016).

About Fairbanks Memorial Cardiology Center, Llc NPPES

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

FAIRBANKS MEMORIAL CARDIOLOGY CENTER, LLC (NPI 1386193472) is a healthcare organization registered as a multi-specialty in Fairbanks, Alaska and active in the NPI registry since September 2016. The organization maintains a secondary practice location in Fairbanks and lists Anthony G Suduth, Cfo, as its authorized official.

NPPES Registry Identity

NPI1386193472
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameFAIRBANKS MEMORIAL CARDIOLOGY CENTER, LLC
Location Address1650 COWLES ST DEPT 60AFairbanks, AK 99701-5907
Mailing Address1650 Cowles St Dept 60aFairbanks, AK 99701-5907 · (907) 458-5525
Organization SubpartYesParent: Foundation Health Llc
Authorized OfficialAnthony G SuduthCfo · (907) 458-3310
Enumeration DateSeptember 29, 2016
Last NPPES UpdateApril 14, 20266 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
NPI 1386193472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
1650 COWLES ST DEPT 60A, Fairbanks, AK 99701

Secondary Practice Location 1

Location 11919 Lathrop StFairbanks, AK 99701-5937 · Phone (907) 458-3346 · Fax (907) 458-5011

Other Identifiers 1

Medicaid1656021AK

Accepted Insurance

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 Cardiology Center, LLC's NPI number?

The NPI number for Fairbanks Memorial Cardiology Center, LLC is 1386193472. It was assigned to this organization in the NPPES registry on September 29, 2016.

Where is Fairbanks Memorial Cardiology Center, LLC located?

Fairbanks Memorial Cardiology Center, LLC is located at 1650 Cowles St Dept 60A, Fairbanks, AK 99701. The listed phone number is (907) 458-5525.

What is Fairbanks Memorial Cardiology Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does Fairbanks Memorial Cardiology Center, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Fairbanks Memorial Cardiology Center, 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 Cardiology Center, LLC was last updated on April 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.