OrganizationActive
Minnie Street Surgery Center, LLC
NPI 1497422919 · Ambulatory Surgical Clinic/Center · Fairbanks, AK
Provider details
- NPI number
- 1497422919
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregory Johnson, Member(907) 479-8844
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
114 Minnie St Ste a
Fairbanks, AK 99701-3000
Phone: (907) 479-8844
Street-level locationGet directions
Mailing address
114 Minnie St Ste a
Fairbanks, AK 99701-3000
Other names (DBA / former)
- Doing business as
- Minnie Street Surgery Center
Registry dates
- Enumerated
- 2021-08-24
- Last updated
- 2021-12-02
- Certified
- 2021-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.