| NPI | 1104563352 |
|---|---|
| Doing Business As | COASTAL ASC,LCC |
| Entity Type | Organization |
| Authorized Contact | SUSANNE FIX Director 907-563-4810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-06-01 |