Provider Type Icon

MAT SU VALLEY MEDICAL CENTER LLC NPI 1912950148


NPI Profile

NPI: 1912950148
Provider Name: MAT SU VALLEY MEDICAL CENTER LLC

Doing Business As: MAT-SU REGIONAL URGENT CARE

Classification:Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
950 BOGARD RD
WASILLA, AK
ZIP 99654
Get Directions

Phone: (907) 861-6000

MAT SU VALLEY MEDICAL CENTER LLC is a clinic center in Wasilla, AK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MAT SU VALLEY MEDICAL CENTER LLC NPI is 1912950148. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mat-su Regional Urgent Care.

The provider's business location address is:

950 BOGARD RD
WASILLA, AK
ZIP 99654-105
Phone: (907) 861-6000
Fax: (907) 861-6559

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

The enumeration date for this NPI number is 5/18/2006 and was last updated on 3/4/2008.


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
1207R00000XInternal MedicineNo
2261Q00000XClinic/Center299454ALASKAYes

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
1MDG1151MEDICAIDALASKA
2152668MEDICARE PINALASKA

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: 1/9/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.