Sportsmedicine Fairbanks

LBN: Cary S Keller Md Pc
Sportsmedicine Fairbanks is an health care organization with primary practice located at 751 Old Richardson Hwy Suite 200, Fairbanks AK 99701-7813. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Cary S Keller Md Pc can be contacted via phone (907) 451-6561, or through Dean, Rebecca S via phone (907) 451-6561.

Contact Information

Primary practice address
751 Old Richardson Hwy Suite 200 Fairbanks AK 99701-7813
Phone: (907) 451-6561
Fax: (907) 451-4847
Website:
Map and Directions
Authorized official contact:
Name: Dean, Rebecca S
Phone: (907) 451-6561

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 38793 Alaska

Profile Details

NPI number 1982805511
LBN Legal business name Cary S Keller Md Pc
DBA Doing business as Sportsmedicine Fairbanks
Authorized official Dean, Rebecca S
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982805511 NPPES
Alaska MEDICAID MDG202

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