Organization
FAIRBANKS MEMORIAL HOSPITAL
Active
Parent organization
FOUNDATION HEALTH LLC
Other names
Fairbanks Memorial Lifeline
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUNDATION HEALTH LLC
Authorized official
GARY RODERICK (CFO)
(907) 458-3310
Entity
Organization
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 458-5597
Mailing address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 458-5597
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
333300000X
Emergency Response System Companies
—
—
Other
Enumeration date
01/05/2022
Last updated
01/06/2022
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