MAT-SU VALLEY III LLC NPI 1518472984

NPI Information

NPI: 1518472984
Provider Name: MAT-SU VALLEY III LLC

Doing Business As: MAT SU URGENT CARE - PALMER

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
209 W EVERGREEN AVE
PALMER, AK
ZIP 99645
Phone: (907) 861-1400
Get Directions

MAT-SU VALLEY III LLC is an urgent care clinic center in Palmer, AK. MAT-SU VALLEY III LLC NPI is 1518472984. The provider is registered as an organization entity type.
The provider Is Doing Business As Mat Su Urgent Care - Palmer.

The provider's business location address is:

209 W EVERGREEN AVE
PALMER, AK
ZIP 99645-952
Phone: (907) 861-1400
Fax: (907) 861-1405

The provider's authorized official is Jennifer L Jackson .
The authorized official title is Senior Director and has the following contact phone number (615) 465-3334.

The enumeration date for this NPI number is 12/7/2017 and was last updated on 6/15/2021.

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	261QU0200X	Clinic/Center	Urgent Care		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	PENDING	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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