FAIRBANKS MEMORIAL HOSPITAL (NPI# 1184665663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184665663 |
| Entity Type | Organization |
| Organization Name | FAIRBANKS MEMORIAL HOSPITAL |
| Practice Address |
1650 Cowles St Fairbanks AK 99701-5998 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9074528181 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2013-11-25 |
| Authorized Official Name | DENNIS E DAHLEN (VICE PRESIDENT/FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1005551 | 05 | |
| AK | HS03AW | 05 | |
| AK | 1021279 (PSYCH) | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265470298 | Fairbanks Memorial Hospital | Home Health | 1701 Gillam Way, Fairbanks, AK 99701-6056 | 2006-06-03 |
| 1306952247 | Fairbanks Memorial Hospital | Pharmacy | 1650 Cowles St, Dept 41 C, Fairbanks, AK 99701-5907 | 2006-08-22 |
| 1669410767 | Fairbanks Memorial Hospital | Durable Medical Equipment & Medical Supplies | 1650 Cowles St, Fairbanks, AK 99701-5925 | 2006-06-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAIRBANKS MEMORIAL HOSPITAL | 1650 Cowles St, Fairbanks, AK 99701-5907 |
| Street Address |
1650 COWLES ST |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-5998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077938 | Owen Quigley Hanley | Internal Medicine | 1650 Cowles St, Fairbanks, AK 99701-5998 | 2005-07-19 |
| 1083235212 | Heather Garman | Respiratory Therapist, Certified | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2020-04-28 |
| 1457982357 | Sarah Ollenburger | Dietitian, Registered | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2020-01-29 |
| 1972133619 | Amanda Ward | Registered Nurse | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2020-01-22 |
| 1568938975 | Jim Kirby Button | Pharmacist | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2018-10-23 |
| 1629559752 | Amber J Ross | Physician Assistant | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2018-08-27 |
| 1497255079 | Kimberly J Bilsky | Registered Nurse | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2018-02-20 |
| 1245730555 | Brittany Marie Hosler Belknap | Nurse Anesthetist, Certified Registered | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2018-02-14 |
| 1083128532 | Kaitlin M Roehl | Physician Assistant | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2017-11-20 |
| 1023548872 | Jeri A Reid | Physician Assistant | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2017-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720537178 | Fairbanks Memorial Hospital, LLC | General Acute Care Hospital | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2016-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518406347 | Patient Housing At Anmc | General Acute Care Hospital | 4001 Tudor Centre Drive, Anchorage, AK 99508-5932 | 2017-02-13 |
| 1497113625 | Providence Alaska Medical Center | General Acute Care Hospital | 22568 Sambar Loop, Chugiak, AK 99567-5377 | 2016-02-02 |
| 1124369277 | Rufa Mylene Sibayan Famini | General Acute Care Hospital | 215 Kimsham St, Sitka, AK 99835-7124 | 2013-03-13 |
| 1841540929 | Searhc | General Acute Care Hospital | 1305 Craig Klowack Hwy, Klowack, AK 99925 | 2012-09-14 |
| 1942414560 | Shelley Lynn Gillaspey | General Acute Care Hospital | 803 Sirstad, Sitka, AK 99835 | 2007-05-10 |
| 1891849261 | Bartlett Regional Hospital | General Acute Care Hospital | 3260 Hospital Drive, Juneau, AK 99801-7808 | 2007-01-23 |
| 1326506767 | Bartlett Regional Hospital | General Acute Care Hospital | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2019-03-05 |
| 1801207980 | William Walker | General Acute Care Hospital | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2014-05-12 |
| 1396063517 | Central Peninsula Hospital | General Acute Care Hospital | 250 Hospital Pl, Soldotna, AK 99669-7559 | 2010-05-12 |
| 1710212915 | Brian P. Wilson | General Acute Care Hospital | 222 Tongass Dr, Sitka, AK 99835-9416 | 2009-10-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.