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

Active since October 18, 2016
1650 COWLES ST DEPT 61A, FAIRBANKS, AK 99701(907) 458-6453 Get Directions Write a Review

NPPES record last updated: October 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fairbanks Memorial Physician Specialties NPPES

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

FAIRBANKS MEMORIAL PHYSICIAN SPECIALTIES (NPI 1942751631) is a healthcare organization registered as a multi-specialty in Fairbanks, Alaska and active in the NPI registry since October 2016. The organization lists Shelley D Ebenal, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1942751631
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameFAIRBANKS MEMORIAL CARDIOLOGY CLINIC, LLC
Location Address1650 COWLES ST DEPT 61AFairbanks, AK 99701-5907
Mailing Address1650 Cowles St Dept 61aFairbanks, AK 99701-5907 · (907) 458-6453
Organization SubpartYesParent: Foundation Health, Llc
Authorized OfficialShelley D EbenalGeneral Counsel · (907) 458-5550
Enumeration DateOctober 18, 2016
NPI 1942751631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1650 COWLES ST DEPT 61A, Fairbanks, AK 99701

Other Names 1

Other NameFairbanks Memorial Physician Specialties

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Fairbanks Memorial Sleep Dme carries, from the Medicare DMEPOS supplier directory.

Fairbanks Memorial Sleep Dme

DMEPOS supplier · Fairbanks, AKOperated by Fairbanks Memorial Home Medical Equipment, LLC

Accepts Medicare assignment

Fairbanks Memorial Sleep Dme agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20464883
Medicare Participant SinceJanuary 1, 2017
Supplier Location1701 Gillam WayFairbanks, AK 99701
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Continuous Positive Airway Pressure (CPAP) Devices
CPAP machines, Compressor systems, Humidifiers, Masks
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Clinic, LLC's NPI number?

The NPI number for Fairbanks Memorial Cardiology Clinic, LLC is 1942751631. It was assigned to this organization in the NPPES registry on October 18, 2016. The provider is also known as Fairbanks Memorial Physician Specialties.

Where is Fairbanks Memorial Cardiology Clinic, LLC located?

Fairbanks Memorial Cardiology Clinic, LLC is located at 1650 Cowles St Dept 61A, Fairbanks, AK 99701. The listed phone number is (907) 458-6453.

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

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

Does Fairbanks Memorial Cardiology Clinic, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Fairbanks Memorial Sleep Dme accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Fairbanks Memorial Cardiology Clinic, LLC was last updated on October 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.