1. Home
  2. Directory
  3. Alaska
  4. Fairbanks
  5. Clinic Center
  6. NPI Profile

MCKINLEY SURGERY CENTER, LLC
NPI 1063133759
Clinic/Center - Ambulatory Surgical in Fairbanks, AK

Active since September 09, 2022CLIA 02D2274065 · Waiver
3745 GEIST RD, FAIRBANKS, AK 99709(907) 373-3700(907) 373-3799 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mckinley Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCKINLEY SURGERY CENTER, LLC (NPI 1063133759) is a healthcare organization registered as an ambulatory surgical in Fairbanks, Alaska and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through December 21, 2026 and lists Stan James, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1063133759
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMCKINLEY SURGERY CENTER, LLC
Location Address3745 GEIST RDFairbanks, AK 99709-3554
Mailing Address3765 E. Blue Lupine Dr Ste BWasilla, AK 99654 · (907) 373-3700 · Fax (907) 373-3799
Phone(907) 373-3700
Fax(907) 373-3799
Organization SubpartNo
Authorized OfficialStan JamesCeo/owner · (907) 373-3700
Enumeration DateSeptember 9, 2022
NPPES CertifiedSeptember 9, 2022
✔ NPI 1063133759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3745 GEIST RD, Fairbanks, AK 99709
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 02D2274065

Mckinley Surgery Center, LLC · Fairbanks, AK
Active · expires Dec 21, 2026
CLIA Number02D2274065
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorChristopher Hindman
Laboratory Phone(907) 456-3338
Laboratory LocationMckinley Surgery Center, LLC3745 Geist Road, Fairbanks, AK 99709
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN SHOULDERS DPT
Physical Therapist
3745 GEIST RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 931-5223
MASON ROLLAND HEGNA
Physical Therapist
3745 GEIST RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 456-1112
AMBRIA MARIE YOUNKER PA
Physician Assistant (Medical)
3745 GEIST RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 456-3338
ANDERS HARBORD CARLSON PT
Physical Therapist
3745 GEIST RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 456-1112
BRIANNA KAMIEL GRAHAM FNP
Nurse Practitioner (Family)
3745 GEIST RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 456-3337
DANIEL R JOHNSON, D.O.
Orthopaedic Surgery
3745 GEIST RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 456-3338
KATHERINE JOAN CAUDILL DPT
Physical Therapist
3745 GEIST RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 931-5223
MCKINLEY SPORTS MEDICINE, LLC
Family Medicine (Sports Medicine)
3745 GEIST RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 456-3341

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mckinley Surgery Center, LLC's NPI number?

The NPI number for Mckinley Surgery Center, LLC is 1063133759. It was assigned to this organization in the NPPES registry on September 9, 2022.

Where is Mckinley Surgery Center, LLC located?

Mckinley Surgery Center, LLC is located at 3745 Geist Rd, Fairbanks, AK 99709. The listed phone number is (907) 373-3700.

What is Mckinley Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Mckinley Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2274065) is associated with this NPI, valid through December 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mckinley Surgery Center, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mckinley Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mckinley Surgery Center, LLC was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.