# COASTAL ASC,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104563352
- **Authorized official:** SUSANNE E. FIX MD (DIRECTOR)
- **Authorized official phone:** (907) 562-0018

## Contact information

- **Practice address:** 188 W NORTHERN LIGHTS BLVD STE 110, ANCHORAGE, AK 99503-3902
- **Practice address phone:** (907) 562-0018
- **Practice address fax:** (907) 562-0019
- **Mailing address:** 188 W NORTHERN LIGHTS BLVD STE 110, ANCHORAGE, AK 99503-3902
- **Mailing address phone:** (907) 562-0018
- **Mailing address fax:** (907) 562-0019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2022
- **Last updated:** 09/13/2024