MAT SU VALLEY MEDICAL CENTER LLC NPI 1912950148

NPI Information

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:

Other Identifiers

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