SALMON CREEK SURGERY – NPI #1558757765
Clinic/Center

SALMON CREEK SURGERY is an AHC clinic located in JUNEAU, AK. NPPES has assigned the NPI number 1558757765 to SALMON CREEK SURGERY on April 14, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SALMON CREEK SURGERY” is a dba name, the actual legal business name for this organization is SOUTHEAST UROLOGY, LLC. 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

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 SALMON CREEK SURGERY below.

NPI Profile for
SOUTHEAST UROLOGY, LLC

NPI Number
1558757765
Enumeration Date

(more than 11 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
SOUTHEAST UROLOGY, LLC
Doing Business As (dba): SALMON CREEK SURGERY
Primary location
3225 HOSPITAL DR
SUITE 102
JUNEAU, AK 99801-7863
Phone: (907) 500-9920 Fax: (253) 927-5472
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAM STANFILL
BILLING MANAGER
Phone: (253) 223-0515
Updated
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.