# ALASKA INTERIOR SURGICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1285330332
- **Authorized official:** DR. ERICK MARTELL MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (305) 761-1934

## Contact information

- **Practice address:** 2485 CHIEF WILLIAM DR \# 100, FAIRBANKS, AK 99709-4873
- **Practice address phone:** (305) 761-1934
- **Mailing address:** 562 UNIVERSITY AVE STE 101, FAIRBANKS, AK 99709-3603
- **Mailing address phone:** (305) 761-1934
- **Mailing address fax:** (855) 678-0909

## Taxonomy

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

## Other

- **Enumeration date:** 01/31/2023
- **Last updated:** 08/26/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1720992 | — | AK |