OrganizationActive
Fairbanks Memorial Hospital
NPI 1255092896 · Customized Equipment (DME) · Fairbanks, AK
Provider details
- NPI number
- 1255092896
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Parent organization
- Foundation Health LLC
- Organization subpart
- Yes
- Authorized official
- Gary Roderick, Cfo(907) 458-3310
Specialties & taxonomies
Suppliers
- Emergency Response System Companies333300000X
Suppliers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1650 Cowles St
Fairbanks, AK 99701-5907
Phone: (907) 458-5597
Street-level locationGet directions
Mailing address
1650 Cowles St
Fairbanks, AK 99701-5907
Other names (DBA / former)
- Doing business as
- Fairbanks Memorial Lifeline
- Doing business as
- Fairbanks Memorial Lifeline
Registry dates
- Enumerated
- 2022-01-05
- Last updated
- 2022-01-06
- Certified
- 2022-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.