Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Minnie Street Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1497422919

Minnie Street Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Fairbanks, Alaska. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

114 Minnie St Ste A
Fairbanks, AK 99701-3000
Phone: (907) 479-8844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1497422919
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Johnson — Member · (907) 479-8844
Other names Minnie Street Surgery Center
NPI enumeratedAugust 24, 2021
Last updated in NPPESDecember 2, 2021
Certification dateDecember 2, 2021
Mailing address114 Minnie St Ste A, Fairbanks, AK 99701-3000

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