SURGERY CENTER OF FAIRBANKS LLC – NPI #1255652285
Clinic/Center

SURGERY CENTER OF FAIRBANKS LLC is an AHC clinic located in FAIRBANKS, AK. NPPES has assigned the NPI number 1255652285 to SURGERY CENTER OF FAIRBANKS LLC on June 14, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 16 years ago on Nov 29, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SURGERY CENTER OF FAIRBANKS LLC below.

NPI Profile for
SURGERY CENTER OF FAIRBANKS LLC

NPI Number
1255652285
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SURGERY CENTER OF FAIRBANKS LLC
Primary location
2310 PEGER ROAD
FAIRBANKS, AK 99709
Phone: (907) 479-2663 Fax:
Mailing address
1905 COWLES ST
FAIRBANKS, AK 99701-5914
Phone: (907) 479-2663 Fax:
Organization Subpart
No
Authorized Official
MARK WADE
OWNER
Phone: (907) 479-2663
Updated
Identifiers

Identifiers for SURGERY CENTER OF FAIRBANKS LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAK BUSINESS LICENSEAK929695
OTHERHEALTH FACILITIES LICENSING AND CERTIFICATIONAKASC-013
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
AK

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.