# FAIRBANKS MEMORIAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BANNER HEALTH
- **Other names:** Fairbanks Memorial Hospital Home Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265470298
- **Legal business name:** BANNER HEALTH
- **Authorized official:** DENNIS E DAHLEN (SR VICE PRESIDENT FINANCE)
- **Authorized official phone:** (602) 747-4000

## Contact information

- **Practice address:** 1701 GILLAM WAY, FAIRBANKS, AK 99701-6056
- **Practice address phone:** (907) 458-5410
- **Practice address fax:** (907) 458-5412
- **Mailing address:** 1441 N 12TH ST, PHOENIX, AZ 85006-2837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 04/28/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1005174 | — | AK |