COPPER BASIN SURGERY CENTER LLC; NPI #1619683968

Contact Information

COPPER BASIN SURGERY CENTER LLC

3035 E PALMER WASILLA HWY STE 501
WASILLA, AK 99654-7274

Phone: 907-357-5300
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 COPPER BASIN SURGERY CENTER LLC

NPI Number	`1619683968`
LBN Legal business name	COPPER BASIN SURGERY CENTER LLC
Authorized official	GLINDA SMITH - (BUSINESS DEVELOPMENT DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/30/2023
Last updated	04/17/2025 - 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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