MINNIE STREET SURGERY CENTER, LLC; NPI #1497422919

Contact Information

MINNIE STREET SURGERY CENTER, LLC

114 MINNIE ST STE A
FAIRBANKS, AK 99701

Phone: 907-479-8844
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 MINNIE STREET SURGERY CENTER, LLC

NPI # 1497422919

LBN Legal business name MINNIE STREET SURGERY CENTER, LLC

Authorized official GREGORY JOHNSON - (MEMBER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/24/2021

Last updated 12/02/2021 - About 5 years ago

Identifiers

Other

UNKNOWN

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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MINNIE STREET SURGERY CENTER, LLC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for MINNIE STREET SURGERY CENTER, LLC

Reviews for MINNIE STREET SURGERY CENTER, LLC