MINNIE STREET SURGERY CENTER
NPI 1497422919
Clinic/Center - Ambulatory Surgical in Fairbanks, AK
About Minnie Street Surgery Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINNIE STREET SURGERY CENTER (NPI 1497422919) is a healthcare organization registered as an ambulatory surgical in Fairbanks, Alaska and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through July 17, 2027 and lists Gregory L Johnson, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 02D2285754
Minnie Street Surgery Center · Fairbanks, AKOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Minnie Street Surgery Center, LLC's NPI number?
The NPI number for Minnie Street Surgery Center, LLC is 1497422919. It was assigned to this organization in the NPPES registry on August 24, 2021. The provider is doing business as Minnie Street Surgery Center.
Where is Minnie Street Surgery Center, LLC located?
Minnie Street Surgery Center, LLC is located at 114 Minnie St Ste A, Fairbanks, AK 99701. The listed phone number is (907) 479-8844.
What is Minnie Street Surgery Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Minnie Street Surgery Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 02D2285754) is associated with this NPI, valid through July 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Minnie Street Surgery Center, LLC was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Minnie Street Surgery Center · NPI 1497422919
Ambulatory Surgical organization in Fairbanks, Alaska. Organization record, active in the CMS NPPES registry since August 24, 2021.
## Identity
- **NPI:** 1497422919 (Entity type: Organization)
- **Enumerated:** August 24, 2021
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Legal business name:** Minnie Street Surgery Center, Llc
- **Organization subpart:** No
- **Authorized official:** Gregory Johnson, MEMBER
## Practice location
- **Address:** 114 MINNIE ST STE A, Fairbanks, AK 99701-3000
- **Phone:** (907) 479-8844
## Record status
- **NPPES last updated:** December 2, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497422919) · Data from the CMS NPPES public registry.