COPPER BASIN SURGERY CENTER LLC
NPI 1619683968
Clinic/Center - Ambulatory Surgical in Wasilla, AK
About Copper Basin Surgery Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COPPER BASIN SURGERY CENTER LLC (NPI 1619683968) is a healthcare organization registered as an ambulatory surgical in Wasilla, Alaska and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Glinda Smith, Business Development Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted 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 02D2290789
Copper Basin Surgery Center, LLC · Wasilla, AKFrequently 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 Copper Basin Surgery Center LLC's NPI number?
The NPI number for Copper Basin Surgery Center LLC is 1619683968. It was assigned to this organization in the NPPES registry on January 30, 2023.
Where is Copper Basin Surgery Center LLC located?
Copper Basin Surgery Center LLC is located at 3035 E Palmer Wasilla Hwy Ste 501, Wasilla, AK 99654. The listed phone number is (907) 357-5300.
What is Copper Basin Surgery Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Copper Basin Surgery Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 02D2290789) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Copper Basin Surgery Center LLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Copper Basin 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 Copper Basin Surgery Center LLC was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Copper Basin Surgery Center Llc · NPI 1619683968
Ambulatory Surgical organization in Wasilla, Alaska. Organization record, active in the CMS NPPES registry since January 30, 2023.
## Identity
- **NPI:** 1619683968 (Entity type: Organization)
- **Enumerated:** January 30, 2023
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Glinda Smith, BUSINESS DEVELOPMENT DIRECTOR
## Practice location
- **Address:** 3035 E PALMER WASILLA HWY STE 501, Wasilla, AK 99654-7274
- **Phone:** (907) 357-5300
## Record status
- **NPPES last updated:** April 17, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1619683968) · Data from the CMS NPPES public registry.