Alaska Interior Surgical Center, Llc

LBN: Alaska Interior Surgical Center, Llc
Alaska Interior Surgical Center, Llc is an health care organization with primary practice located at 2485 Chief William Dr # 100 , Fairbanks AK 99709-4873. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Alaska Interior Surgical Center, Llc can be contacted via phone (305) 761-1934, or through Martell, Erick via phone (305) 761-1934.

Contact Information

Primary practice address
2485 Chief William Dr # 100 Fairbanks AK 99709-4873
Phone: (305) 761-1934
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martell, Erick Doctor of Medicine (MD)
Phone: (305) 761-1934

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1285330332
LBN Legal business name Alaska Interior Surgical Center, Llc
DBA Doing business as
Authorized official Martell, Erick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2023
Last updated Jan 31st, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285330332 NPPES
Alaska MEDICAID 1720992

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