ALASKA SPINE INSTITUTE SURGERY CENTER, LLC; NPI #1316942048

Contact Information

ALASKA SPINE INSTITUTE SURGERY CENTER, LLC

3801 LAKE OTIS PKWY STE 100
ANCHORAGE, AK 99508-5234

Phone: 907-563-1555
Fax: 907-563-1222
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 INSTITUTE SURGERY CENTER, LLC

NPI Number 1316942048

LBN Legal business name ALASKA SPINE INSTITUTE SURGERY CENTER, LLC

Authorized official DANNA GRANT - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/17/2005

Last updated 12/08/2017 - About 9 years ago

Identifiers

AK	License #	719851
AK	Medicaid	AS2249

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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