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FAIRBANKS MEMORIAL HOSPITAL

>> Home Health >> Agencies

Registrant NPI Number: 1265470298

Organizational Registrant:
Organization Name:  FAIRBANKS MEMORIAL HOSPITAL
Organization is Subpart
Authorized Official:  DENNIS E DAHLEN  SR VICE PRESIDENT FINANCE  602--74-74000

Location and contact information for practice:
1701 GILLAM WAY  FAIRBANKS, AK 99701-6056 US
Tel: 907-458-5410  Fax: 907-458-5412

Contact information for business:
1441 N 12TH ST  PHOENIX, AZ 85006-2837 US
Tel: --  Fax: --

Registration Information:
NPI: 1265470298
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251E00000XAgencies
Home Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1005174AK05




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