MAT-SU VALLEY MEDICAL CENTER LLC (NPI# 1417975061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417975061 |
| Entity Type | Organization |
| Organization Name | MAT-SU VALLEY MEDICAL CENTER LLC |
| Practice Address |
2500 S Woodworth Loop Palmer AK 99645-8984 |
| Mailing Address |
Po Box 1687 Palmer AK 99645-1687 |
| Practice Telephone | 9078616000 |
| Practice Fax Number | 9078616559 |
| Mailing Telephone | 9078616000 |
| Mailing Fax Number | 9078616559 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-02-22 |
| Authorized Official Name | PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | AK | Allopathic & Osteopathic Physicians | |
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
296974 | AK | Ambulatory Health Care Facilities |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AK | Suppliers | |
| Y | 282N00000X | General Acute Care Hospital | 296969 | AK | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | HS478IP | 05 | |
| AK | HS478OP | 05 | |
| AK | MDG427 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730132911 | Mat-su Valley Medical Center LLC | Home Health | 3051 Palmer Wasilla Hwy, Wasilla, AK 99654-7234 | 2006-05-18 |
| Street Address |
2500 S WOODWORTH LOOP |
| City | PALMER |
| State | AK |
| Zip Code | 99645-8984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629067590 | Roy Fukuoka | Nurse Anesthetist, Certified Registered | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2005-10-13 |
| 1720603939 | Robert A Grogan | Pharmacist | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2020-06-12 |
| 1184258170 | Michelle Hailey Allen | Registered Nurse | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2020-02-27 |
| 1528615424 | Tara E Bonardi | Nurse Anesthetist, Certified Registered | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2019-08-25 |
| 1619532215 | Eric Atkinson | Registered Nurse | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2019-05-08 |
| 1588133748 | Erin Alaina Reding | Nurse Practitioner | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2018-11-17 |
| 1043722929 | Fireweed Surgical Assists LLC | Nurse Practitioner | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2017-10-31 |
| 1740713866 | Annette Kasprzak | Emergency Medicine | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2017-04-05 |
| 1669858106 | Jesse Atwood Md Pediatrics, LLC | Pediatrics | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2015-08-06 |
| 1881080018 | Kili Grace O'bryant | Emergency Medicine | 2500 S Woodworth Loop, Palmer, AK 99645 | 2015-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750530945 | Mat-su Regional Medical Center | General Acute Care Hospital | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2008-09-12 |
| 1962410233 | Baystate Wing Hospital Corporation | General Acute Care Hospital | 40 Wright St, Palmer, MA 01069-1138 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518406347 | Patient Housing At Anmc | General Acute Care Hospital | 4001 Tudor Centre Drive, Anchorage, AK 99508-5932 | 2017-02-13 |
| 1497113625 | Providence Alaska Medical Center | General Acute Care Hospital | 22568 Sambar Loop, Chugiak, AK 99567-5377 | 2016-02-02 |
| 1124369277 | Rufa Mylene Sibayan Famini | General Acute Care Hospital | 215 Kimsham St, Sitka, AK 99835-7124 | 2013-03-13 |
| 1841540929 | Searhc | General Acute Care Hospital | 1305 Craig Klowack Hwy, Klowack, AK 99925 | 2012-09-14 |
| 1942414560 | Shelley Lynn Gillaspey | General Acute Care Hospital | 803 Sirstad, Sitka, AK 99835 | 2007-05-10 |
| 1891849261 | Bartlett Regional Hospital | General Acute Care Hospital | 3260 Hospital Drive, Juneau, AK 99801-7808 | 2007-01-23 |
| 1326506767 | Bartlett Regional Hospital | General Acute Care Hospital | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2019-03-05 |
| 1720537178 | Fairbanks Memorial Hospital, LLC | General Acute Care Hospital | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2016-09-27 |
| 1801207980 | William Walker | General Acute Care Hospital | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2014-05-12 |
| 1396063517 | Central Peninsula Hospital | General Acute Care Hospital | 250 Hospital Pl, Soldotna, AK 99669-7559 | 2010-05-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.