CREEKSIDE SURGICAL CENTER – NPI #1710207998
Clinic/Center

CREEKSIDE SURGICAL CENTER is an AHC clinic located in ANCHORAGE, AK. NPPES has assigned the NPI number 1710207998 to CREEKSIDE SURGICAL CENTER on June 10, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CREEKSIDE SURGICAL CENTER” is a dba name, the actual legal business name for this organization is PROVIDENCE SURGERY CENTERS 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 CREEKSIDE SURGICAL CENTER below.

NPI Profile for
PROVIDENCE SURGERY CENTERS LLC

NPI Number
1710207998
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
PROVIDENCE SURGERY CENTERS LLC
Doing Business As (dba): CREEKSIDE SURGICAL CENTER
Primary location
3831 PIPER ST. SUITE S-110
ANCHORAGE, AK 99508
Phone: (907) 339-7800 Fax: (315) 571-9944
Mailing address
PO BOX 233889
ANCHORAGE, AK 99523-3889
Phone: (907) 212-3035 Fax: (315) 571-9944
Organization Subpart
No
Authorized Official
COLLEEN BRIDGE
SECRETARY, BOARD OF MANAGERS
Phone: (907) 212-3035
Updated
Identifiers

Identifiers for CREEKSIDE SURGICAL CENTER

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
OTHERPENDING MEDICARE #AK000000000
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 PENDING

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.