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
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1656021
—
AK
Enumeration date
09/29/2016
Last updated
04/14/2026
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