Fairbanks Memorial Cardiology Clinic, LLC

NPI #1942751631 in Fairbanks, Alaska

Provider Information

NPI Number
1942751631
Entity Type
Organization
Organization Name
Fairbanks Memorial Cardiology Clinic, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FOUNDATION HEALTH, LLC
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Oct 18, 2016
Last Updated
Oct 18, 2016

Practice Location

Address
1650 COWLES ST DEPT 61A
State
Alaska
ZIP Code
99701-5907
Phone
(907) 458-6453

Authorized Official

Name
SHELLEY D EBENAL
Title
GENERAL COUNSEL
Phone
(907) 458-5550

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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