Alpine Surgicenter, LLC

Organization Active NPI Ambulatory Surgical Clinic/Center · Anchorage, AK

NPI 1184195877 · NPPES record last updated Jul 9, 2026

Key facts

NPI
1184195877
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
ALPINE SURGICENTER, LLC
Practice address
3801 Lake Otis Pkwy
Anchorage, AK 99508-5234
Phone
(907) 563-1555
NPI assigned
Dec 6, 2018
Organization subpart
No

Authorized official

Name
David McKnight
Title
VP/Cfo
Phone
(972) 789-2816

Medicare Care Compare: Ambulatory surgical center

Listed as
Alpine Surgicenter LLC Dba Alpine Surgery Center CCN 02C0001008
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D1026253Alpine Surgicenter, LLC
3801 Lake Otis Parkway, Suite 100, Anchorage, AK 99508
Certificate of waiverMay 27, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AK

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190304002905 AK Part B Supplier - Ambulatory Surgical Center 5597004887 Practice locations: Anchorage, AK

National Provider Directory

Locations

3801 Lake Otis Pkwy
Anchorage, AK 99508
Phone (907) 562-2227

3801 Lake Otis Pkwy
Ste 100
Anchorage, AK 99508
Phone (907) 563-1555

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Yes

Addresses

Primary practice location

3801 Lake Otis Pkwy
Anchorage, AK 99508-5234

Mailing address

3801 Lake Otis Pkwy
Anchorage, AK 99508-5234
Phone (907) 563-1555

Other names

  • Alpine Surgery Center Doing business as

Other providers in Anchorage, AK

All providers in Anchorage, AK · Ambulatory Surgical Clinic/Center in Alaska

Sources for this page

Verify at the official NPI Registry.