STATE OF ALASKA NPI 1205958287

NPI Information

NPI: 1205958287
Provider Name: STATE OF ALASKA

Doing Business As: MAT-SU PUBLIC HEALTH CENTER

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
3223 PALMER WASILLA HWY
SUITE 3
WASILLA, AK
ZIP 99654
Phone: (907) 352-6600
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STATE OF ALASKA is a public health or welfare in Wasilla, AK. STATE OF ALASKA NPI is 1205958287. The provider is registered as an organization entity type.
The provider Is Doing Business As Mat-su Public Health Center.

The provider's business location address is:

3223 PALMER WASILLA HWY
SUITE 3
WASILLA, AK
ZIP 99654-236
Phone: (907) 352-6600
Fax: (907) 376-3096

The provider's authorized official is Viola Jean Harosia .
The authorized official title is Nurse Practioner and has the following contact phone number (907) 352-6650.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare		AK529	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NPO529PH0529	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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