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Organization

FAIRBANKS MEMORIAL HOME MEDICAL EQUIPMENT, LLC

Active
Parent organization
FOUNDATION HEALTH LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FOUNDATION HEALTH LLC
Authorized official
ANTHONY G SUDDUTH (CFO)
(907) 458-5300
Entity
Organization

Contact information

Practice address
1701 GILLAM WAY STE B, FAIRBANKS, AK 99701-6056
(907) 458-5421
(907) 458-5026
Mailing address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 458-5421
(907) 458-5026

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1662831
AK
Enumeration date
10/13/2016
Last updated
03/09/2026
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