OrganizationActive
Fairbanks Memorial Cardiology Clinic, LLC
NPI 1942751631 · Multi-Specialty Clinic/Center · Fairbanks, AK
Provider details
- NPI number
- 1942751631
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Foundation Health, LLC
- Organization subpart
- Yes
- Authorized official
- Shelley Ebenal, General Counsel(907) 458-5550
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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 Dept 61a
Fairbanks, AK 99701-5907
Phone: (907) 458-6453
Street-level locationGet directions
Mailing address
1650 Cowles St Dept 61a
Fairbanks, AK 99701-5907
Other names (DBA / former)
- Other name
- Fairbanks Memorial Physician Specialties
Registry dates
- Enumerated
- 2016-10-18
- Last updated
- 2016-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.