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MAT SU VALLEY MEDICAL CENTER LLC NPI 1669425898


NPI Information

NPI: 1669425898
Provider Name: MAT SU VALLEY MEDICAL CENTER LLC

Doing Business As: MAT-SU REGIONAL HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
3051 PALMER WASILLA HWY
WASILLA, AK
ZIP 99654
Phone: (907) 861-6000
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MAT SU VALLEY MEDICAL CENTER LLC is a hospice care community based in Wasilla, AK. MAT SU VALLEY MEDICAL CENTER LLC NPI is 1669425898. The provider is registered as an organization entity type.
The provider Is Doing Business As Mat-su Regional Hospice.

The provider's business location address is:

3051 PALMER WASILLA HWY
WASILLA, AK
ZIP 99654-234
Phone: (907) 861-6000
Fax: (907) 861-6559

The provider's authorized official is Laurie Holtsford .
The authorized official title is Director, Business Office Director and has the following contact phone number (615) 465-7488.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 11/5/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based297764ALASKAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1021500MEDICARE OSCAR/CERTIFICATION

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

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