ARCTIC MEDICAL CENTER MATSU (NPI# 1578178349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578178349 |
| Entity Type | Organization |
| Organization Name | ARCTIC MEDICAL CENTER MATSU |
| Practice Address |
1734 Prospect Dr Palmer AK 99645 |
| Mailing Address |
1150 S Colony Way Ste 3 Pmb 221 Palmer AK 99645-6972 |
| Practice Telephone | 9077452222 |
| Mailing Telephone | 9077467842 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | DWAYNE ENGELBRECHT (OWNER) |
| Authorized Official Telephone | 9077467842 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
1734 PROSPECT DR |
| City | PALMER |
| State | AK |
| Zip Code | 99645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437489903 | Arctic Chiropractic East Mat-su LLC | Acupuncturist | 1734 Prospect Dr, Palmer, AK 99645 | 2010-01-06 |
| 1770130023 | Renee Jacqueline Howard | Massage Therapist | 1734 Prospect Dr, Palmer, AK 99645-9964 | 2019-08-21 |
| 1437630514 | Ann Dougherty | Massage Therapist | 1734 Prospect Dr, Palmer, AK 99645 | 2018-08-27 |
| 1003319476 | Zachary Richards | Chiropractor | 1734 Prospect Dr, Palmer, AK 99645 | 2018-03-13 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184028573 | Valley Allergy and Asthma Clinic, LLC | Clinic/Center | 425 E Dahlia Ave, Suite Mb, Palmer, AK 99645-6463 | 2014-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1376075697 | Seven Principles Therapeutics | Clinic/Center | 505 W Northern Lights Bvld, Anchorage, AK 99503 | 2017-03-28 |
| 1710347349 | Solstice Medicine & Wellness, LLC | Clinic/Center | 475 Riverstone Way # 5, Fairbanks, AK 99709-2945 | 2016-02-24 |
| 1730482407 | American Hyperbaric Centers, Inc. | Clinic/Center | 2710 Wesleyan Drive, Suite 201, Anchorage, AK 99508-3776 | 2010-12-17 |
| 1447577200 | Advanced Body Solutions, Inc. | Clinic/Center | 626 Cordova Street Suite 105, Advanced Body Solutions, Anchorage, AK 99501 | 2010-05-03 |
| 1366674699 | Colleen M. Murphy, Md, Facog, Corp | Clinic/Center | 4100 Lake Otis Pkwy Ste 330, Anchorage, AK 99508-5232 | 2009-08-20 |
| 1295988491 | Eastern Aleutian Tribes | Clinic/Center | 1 Airport Rd, Cold Bay, AK 99571 | 2008-10-31 |
| 1881879922 | Wisdom Traditions Counseling Services, LLC | Clinic/Center | 401 W International Rd Ste 27, Anchorage, AK 99518-1168 | 2008-01-08 |
| 1891790184 | Independence Healthcare PC | Clinic/Center | 291 N Fireweed St, Soldotna, AK 99669-7540 | 2005-06-14 |
| 1962040006 | Arctic Medical Center | Clinic/Center | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503-6089 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
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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.