Organization
FAIRBANKS MEMORIAL HOSPITAL
Active
Parent organization
BANNER HEALTH
Other names
Banner Home Medical Equipment FMH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS E DAHLEN (SR VICE PRESIDENT)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5925
(907) 458-5421
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MS 8060
—
AK
Enumeration date
06/02/2006
Last updated
04/24/2009
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