Organization
AUXILIARY ACCOUNTS FOR FMH/DC
Active
Other names
Fairbanks Memorial Hospital/Denali Center Lifeline
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WHORTON (LIFELINE COORDINATOR)
(907) 458-5597
Entity
Organization
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5925
(907) 458-5597
(907) 458-5035
Mailing address
1650 COWLES ST, FAIRBANKS, AK 99701-5925
(907) 458-5597
(907) 458-5035
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MS5935
—
AK
Enumeration date
05/23/2007
Last updated
06/24/2008
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