# ALASKA HEART INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALASKA HEART INSTITUTE
- **Other names:** Alaska Cardiovascular Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477891364
- **Legal business name:** ALASKA HEART INSTITUTE
- **Authorized official:** DR. ALAN E SKOLNICK M.D. (TREASURER)
- **Authorized official phone:** (907) 561-3211

## Contact information

- **Practice address:** 3220 PROVIDENCE DR, SUITE E3-083, ANCHORAGE, AK 99508-4679
- **Practice address phone:** (907) 561-3211
- **Practice address fax:** (907) 562-7547
- **Mailing address:** 3841 PIPER ST, SUITE T100, ANCHORAGE, AK 99508-4624
- **Mailing address phone:** (907) 561-3211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 984380 | AK | Yes |

## Other

- **Enumeration date:** 01/28/2013
- **Last updated:** 02/24/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02-C0001016 | MEDICARE | AK |
| 01 | — | K165540 | PTAN | AK |