FAIRBANKS MEMORIAL PHYSICIAN SPECIALTIES
NPI 1942751631
Clinic/Center - Multi-Specialty in Fairbanks, AK

NPI Status: Active since October 18, 2016

Contact Information

1650 COWLES ST DEPT 61A
FAIRBANKS, AK
ZIP 99701
Phone: (907) 458-6453

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About FAIRBANKS MEMORIAL PHYSICIAN SPECIALTIES

This page provides the complete NPI Profile along with additional information for Fairbanks Memorial Physician Specialties, a provider established in Fairbanks, Alaska operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1942751631 assigned on October 2016. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Fairbanks Memorial Physician Specialties. The authorized official of this NPI record is Shelley D Ebenal (General Counsel)

NPI
1942751631
Provider Legal Name
FAIRBANKS MEMORIAL CARDIOLOGY CLINIC, LLC
Other Organization Name
FAIRBANKS MEMORIAL PHYSICIAN SPECIALTIES
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1650 COWLES ST DEPT 61A FAIRBANKS, AK 99701
Location Phone
(907) 458-6453
Mailing Address
1650 COWLES ST DEPT 61A FAIRBANKS, AK 99701
Mailing Phone
(907) 458-6453
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-18-2016
Last Update Date
10-18-2016
Code Navigator



Fairbanks Memorial Physician Specialties is a medicare supplier with PTAN 20464883 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Continuous Positive Airway Pressure (CPAP) Devices.

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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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHELLEY D EBENAL

Authorized Official Title
GENERAL COUNSEL
Authorized Official Phone
(907) 458-5550

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20464883
Accepts Medicare Assignment
YES
Specialities List
Medical Supply Company Other.
Competitive Bidding
NO

Supplies List

  • Continuous Positive Airway Pressure (CPAP) Devices - CPAP machines, Compressor systems, Humidifiers, Masks

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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 1942751631, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 4 → 8 7 → 14 → 5 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 8 + 2 + 1 + 4 + 5 + 2 + 6 + 6 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1942751631.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942751631, enumerated as an "organization" on October 18, 2016.

The provider is located at 1650 COWLES ST DEPT 61A FAIRBANKS, AK 99701 and the phone number is (907) 458-6453.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.