# SURGERY CENTER OF WASILLA, LLC

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

## Provider details

- **NPI number:** 1649534843
- **Authorized official:** RILEY ORR (COO)
- **Authorized official phone:** (615) 314-1406

## Contact information

- **Practice address:** 3190 E MERIDIAN PARK LOOP STE 111, WASILLA, AK 99654-7422
- **Practice address phone:** (907) 631-3578
- **Practice address fax:** (907) 782-4561
- **Mailing address:** 3190 E MERIDIAN PARK LOOP STE 111, WASILLA, AK 99654-7422
- **Mailing address phone:** (907) 631-3578
- **Mailing address fax:** (907) 782-4561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 976033 | AK | Yes |

## Other

- **Enumeration date:** 07/02/2012
- **Last updated:** 05/06/2026