Auxiliary Accounts for FMH/DC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AUXILIARY ACCOUNTS FOR FMH/DC

Practice address

1650 Cowles St
Fairbanks, AK 99701-5925

Phone

(907) 458-5597

Fax

(907) 458-5035

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Whorton

Title

Lifeline Coordinator

Phone

(907) 458-5597

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fairbanks Memorial Hospital/Denali Center Lifeline Doing business as

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1194935320",
    "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": "997015925",
            "telephone_number": "907-458-5597",
            "fax_number": "907-458-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015925",
            "telephone_number": "907-458-5597",
            "fax_number": "907-458-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUXILIARY ACCOUNTS FOR FMH/DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "WHORTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LIFELINE COORDINATOR",
        "authorized_official_telephone_number": "907-458-5597"
    },
    "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": "MS5935",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairbanks Memorial Hospital/Denali Center Lifeline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cody Auton
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• Awaken Joy LLC
• Chelsey Ayen
• Carkecia S Ayres-Woody
• Angelica Baalam, RN

• Durable Medical Equipment & Medical Supplies in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Durable Medical Equipment & Medical Supplies in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.