MAT-SU VALLEY II LLC NPI 1750567640

NPI Information

NPI: 1750567640
Provider Name: MAT-SU VALLEY II LLC

Doing Business As: MAT SU REGIONAL HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
950 E BOGARD RD
SUITE 132
WASILLA, AK
ZIP 99654
Phone: (907) 861-6000
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MAT-SU VALLEY II LLC is a hospice care community based in Wasilla, AK. MAT-SU VALLEY II LLC NPI is 1750567640. 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:

950 E BOGARD RD
SUITE 132
WASILLA, AK
ZIP 99654-105
Phone: (907) 861-6000

The provider's authorized official is Laurie Holtsford .
The authorized official title is Director Business Support and has the following contact phone number (615) 465-7466.

The enumeration date for this NPI number is 1/10/2008 and was last updated on 1/20/2012.

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	251G00000X	Hospice Care, Community Based		297764	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	021500	MEDICARE OSCAR/CERTIFICATION	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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