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Organization
FAIRBANKS MEMORIAL CARDIOLOGY CENTER, LLC
Active
Organization
FAIRBANKS MEMORIAL CARDIOLOGY CENTER, LLC
Active
Parent organization
FOUNDATION HEALTH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUNDATION HEALTH LLC
Authorized official
ANTHONY G SUDUTH CPA, FHFMA, FACHE (CFO)
(907) 458-3310
Entity
Organization
Contact information
Practice address
1650 COWLES ST DEPT 60A, FAIRBANKS, AK 99701-5907
(907) 458-5525
Mailing address
1650 COWLES ST DEPT 60A, FAIRBANKS, AK 99701-5907
(907) 458-5525
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QM2500X
Medical Specialty Clinic/Center
—
NULL
Other
Enumeration date
09/29/2016
Last updated
04/14/2026
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