Fairbanks Memorial Home Medical Equipment, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FAIRBANKS MEMORIAL HOME MEDICAL EQUIPMENT, LLC

Practice address

1701 Gillam Way Ste B
Fairbanks, AK 99701-6056

Phone

(907) 458-5421

Fax

(907) 458-5026

NPI assigned

Oct 13, 2016

Organization subpart

Yes

Parent organization

FOUNDATION HEALTH LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anthony G Sudduth

Title

Cfo

Phone

(907) 458-5300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

Foundation Health LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Foundation Health LLC

  • Community/Retail Pharmacy
  • Fairbanks, AK
  • NPI 1306952247
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1003366048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015907",
            "telephone_number": "907-458-5421",
            "fax_number": "907-458-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 GILLAM WAY STE B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016056",
            "telephone_number": "907-458-5421",
            "fax_number": "907-458-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRBANKS MEMORIAL HOME MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNDATION HEALTH LLC",
        "enumeration_date": "2016-10-13",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "SUDDUTH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "907-458-5300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1662831",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fairbanks Integrated Community Services
• Fairbanks Medical Imaging LLC
• Fairbanks Memorial Cardiology Center
• Fairbanks Memorial Cardiology Center, LLC
• Fairbanks Memorial Cardiology Clinic, LLC
• Fairbanks Memorial Hospital
• Fairbanks Memorial Hospital
• Fairbanks Memorial Hospital
• Fairbanks Memorial Hospital
• Fairbanks Memorial Hospital, LLC

• All providers in Fairbanks, AK
• Durable Medical Equipment & Medical Supplies in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.