SUSITNA SURGERY CENTER LLC; NPI #1073009304

Contact Information

SUSITNA SURGERY CENTER LLC

2490 S WOODWORTH LOOP STE 100
PALMER, AK 99645-7410

Phone: 907-861-6540
Fax: 907-861-6309
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for SUSITNA SURGERY CENTER LLC

NPI #	`1073009304`
LBN Legal business name	SUSITNA SURGERY CENTER LLC
Authorized official	KRISTY MUSIC - (AO-DIRECTOR, PROVIDER ENROLLMENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/10/2018
Last updated	08/21/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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