ALASKA SPINE CENTER, LLC; NPI #1093710717

Contact Information

ALASKA SPINE CENTER, LLC

4100 LAKE OTIS PKWY
SUITE 212
ANCHORAGE, AK 99508-5230

Phone: 907-644-5500
Fax: 907-644-5555
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 ALASKA SPINE CENTER, LLC

NPI Number 1093710717

LBN Legal business name ALASKA SPINE CENTER, LLC

Authorized official LEON CHANDLER - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/17/2005

Last updated 01/15/2008 - About 18 years ago

Identifiers

AK	License #	417904
AK	Medicaid	AS5856

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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