ANCHORAGE ENDOSCOPY CENTER, LLC; NPI #1770605214

Contact Information

ANCHORAGE ENDOSCOPY CENTER, LLC

2841 DEBARR RD STE 51
ANCHORAGE, AK 99508-2932

Phone: 907-222-3636
Fax: 907-222-5031
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 ANCHORAGE ENDOSCOPY CENTER, LLC

NPI # 1770605214

LBN Legal business name ANCHORAGE ENDOSCOPY CENTER, LLC

Authorized official CHERYL GONZALES - (PRACTICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/04/2007

Last updated 10/01/2015 - About 11 years ago

Identifiers

AK	License #	02-C0001005
AK	Medicaid	AS6329

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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