Mat Su Valley Medical Center Llc in Wasilla - Clinic/center
Mat Su Valley Medical Center Llc - NPI 1912950148
Mat Su Valley Medical Center Llc is a Clinic/center in Wasilla, Alaska. Mat Su Valley Medical Center Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Mat Su Valley Medical Center Llc is 1912950148. The last update date is 2023-06-18.
Mat Su Valley Medical Center Llc's current location address is 950 E Bogard Rd Ste 103, Wasilla, Alaska. You can contact this provider via phone number 9073522880 and fax number 9073522885. The mailing address for Mat Su Valley Medical Center Llc is 950 E Bogard Rd Ste 103, Wasilla, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mat Su Valley Medical Center Llc |
|---|---|
| Address | 950 E Bogard Rd Ste 103, Wasilla, Alaska |
| Phone Number | 9073522880 |
| Fax Number | 9073522885 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR DIRECTO |
|---|---|
| Authorized Official Name | Jackson L Jennifer |
| Telephone Number | 6154653334 |
NPI Number Detail
| NPI Number | 1912950148 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2023-06-18 |
Provider Mailing Address Detail
| Address | 950 E Bogard Rd Ste 103 |
|---|---|
| City | Wasilla |
| State | Alaska (AK) |
| Post Code | 9965471840 |
| Phone Number | 9073522880 |
| Fax Number | 9073522885 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 299454 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1020601 | AK | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mat Su Valley Medical Center Llc by the Centers for Medicare & Medicaid Services?
The Mat Su Valley Medical Center Llc has been issued the NPI (National Provider Identifier) 1912950148. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mat Su Valley Medical Center Llc?
The Mat Su Valley Medical Center Llc is situated at 950 E Bogard Rd Ste 103, in the city of Wasilla, state of AK, with the zip code 9965471840.
What is the Mat Su Valley Medical Center Llc's specialty and taxonomy code?
The Mat Su Valley Medical Center Llc's specialty is Clinic/center, and the corresponding taxonomy code is 261Q00000X.
When was the Mat Su Valley Medical Center Llc's 1912950148 issued?
The Mat Su Valley Medical Center Llc's 1912950148 was issued on 2006-05-18.
As of what date was the information pertaining to Mat Su Valley Medical Center Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mat Su Valley Medical Center Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-06-18.