NPIMap

Organization Active NPI

Denali Center, LLC

  • Skilled Nursing Facility
  • Fairbanks, AK
National Provider Identifier
1326597410
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DENALI CENTER, LLC
Practice address
1510 19TH Ave
Fairbanks, AK 99701-5900
Phone
(907) 458-5525
NPI assigned
Sep 29, 2016
Last updated
Oct 2, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
FOUNDATION HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1510 19TH Ave
Fairbanks, AK 99701-5900

Mailing address

1510 19TH Ave
Fairbanks, AK 99701-5900
Phone (907) 458-5525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161220002040 AK Part A Provider - Skilled Nursing Facility 1254612732 Practice locations: Fairbanks, AK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326597410. Details of each certification follow.

Skilled nursing facility certification: CCN 025020

Legal name
DENALI CENTER LLC
Doing business as
DENALI CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1983
Last certification
Jan 10, 2025
Beds
90 (71 certified)
Ownership / control type
Nonprofit Corporation
Organization structure
OtherNon-profit
Enrollment address
1510 19TH Ave
Fairbanks, AK 99701-5900
Nursing home name
DENALI CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Denali CenterCCN 025020 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Nov 1, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7173.6 residents per day on average
Penalties (3 years)
1Fines totaling $10,358

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Denali Center3 organizations share this tax ID, including this one
Part of
Foundation Health LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1510 19th Ave
Fairbanks, AK 99701
Phone (907) 458-3310

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Greater Fairbanks Community Hospital Foundation Inc Organization, Fairbanks, AK Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2023 100%
Adp of the SNF Apr 10, 1994
Shelley D Ebenal Individual Operational/Managerial Control Feb 24, 2019
Adp of the SNF Feb 20, 2025
Sarah Martin Individual Operational/Managerial Control Jan 1, 2017
Anthony G Sudduth Individual Operational/Managerial ControlChief Financial Officer Jul 24, 2023 100%
Kendrick D Blais Individual Operational/Managerial Control Nov 1, 2022
Adp of the SNF Feb 20, 2025
Foundation Health LLC Organization, Fairbanks, AK LLC, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2017 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1326597410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 19TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015900",
            "telephone_number": "907-458-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 19TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015900",
            "telephone_number": "907-458-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENALI CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNDATION HEALTH, LLC",
        "enumeration_date": "2016-09-29",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.