SURGERY CENTER OF FAIRBANKS LLC; NPI #1255652285

Contact Information

SURGERY CENTER OF FAIRBANKS LLC

2310 PEGER ROAD
FAIRBANKS, AK 99709

Phone: 907-479-2663
Fax:
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 SURGERY CENTER OF FAIRBANKS LLC

NPI # 1255652285

LBN Legal business name SURGERY CENTER OF FAIRBANKS LLC

Authorized official MARK WADE - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/14/2010

Last updated 11/29/2010 - About 16 years ago

Identifiers

AK	Other	929695	AK BUSINESS LICENSE
AK	Other	ASC-013	HEALTH FACILITIES LICENSING AND CERTIFICATION

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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SURGERY CENTER OF FAIRBANKS LLC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for SURGERY CENTER OF FAIRBANKS LLC

Reviews for SURGERY CENTER OF FAIRBANKS LLC