# ALASKA SPINE INSTITUTE SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alpine Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316942048
- **Authorized official:** DANNA CAROL GRANT RN CASC (ADMINISTRATOR)
- **Authorized official phone:** (907) 341-5269

## Contact information

- **Practice address:** 3801 LAKE OTIS PKWY STE 100, ANCHORAGE, AK 99508-5234
- **Practice address phone:** (907) 563-1555
- **Practice address fax:** (907) 563-1222
- **Mailing address:** 3801 LAKE OTIS PKWY STE 100, ANCHORAGE, AK 99508-5234
- **Mailing address phone:** (907) 563-1555
- **Mailing address fax:** (907) 563-1222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 719851 | AK | Yes |

## Other

- **Enumeration date:** 06/17/2005
- **Last updated:** 12/08/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | AS2249 | — | AK |