MAT SU VALLEY MEDICAL CENTER LLC (NPI# 1669425898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669425898 |
| Entity Type | Organization |
| Organization Name | MAT SU VALLEY MEDICAL CENTER LLC |
| Other Organization Name | MAT-SU REGIONAL HOSPICE |
| Practice Address |
3051 Palmer Wasilla Hwy Wasilla AK 99654-7234 |
| Mailing Address |
Po Box 60000 Lockbox 74470 San Francisco CA 94160 |
| Practice Telephone | 9078616000 |
| Practice Fax Number | 9078616559 |
| Mailing Telephone | 9078616000 |
| Mailing Fax Number | 9078616559 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-11-05 |
| Authorized Official Name | LAURIE HOLTSFORD (DIRECTOR, BUSINESS OFFICE DIRECTOR) |
| Authorized Official Telephone | 6154657488 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAT SU VALLEY MEDICAL CENTER LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 297764 | AK | Agencies |
| Other Name | Type Code |
|---|---|
| Mat-Su Regional Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932282472 | Mat Su Valley Medical Center LLC | Durable Medical Equipment & Medical Supplies | 950 Bogard Rd, Wasilla, AK 99654-7105 | 2006-10-20 |
| 1003838384 | Mat Su Valley Medical Center LLC | Medicare Defined Swing Bed Unit | 2500 S Woodworth Loop, Palmer, AK 99645-8984 | 2006-07-24 |
| 1912950148 | Mat Su Valley Medical Center LLC | Internal Medicine | 950 Bogard Rd, Wasilla, AK 99654-7105 | 2006-05-18 |
| Street Address |
3051 PALMER WASILLA HWY |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7234 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801380043 | Ancora Home Health & Hospice, LLC | Hospice Care, Community Based | 950 E Bogard Rd Ste 132, Wasilla, AK 99654-7172 | 2018-06-20 |
| 1477047579 | Ancora Home Health & Hospice, LLC | Hospice Care, Community Based | 950 E Bogard Rd Ste 132, Wasilla, AK 99654-7172 | 2018-06-21 |
| 1659722288 | Aurora Borealis Hospice LLC | Hospice Care, Community Based | 4900 E Palmer Wasilla Hwy Ste 4, Wasilla, AK 99654-7752 | 2016-06-24 |
| 1174847743 | Amedisys Alaska, LLC | Hospice Care, Community Based | 892 E Usa Cir, Suite 102, Wasilla, AK 99654-7188 | 2010-03-25 |
| 1750567640 | Mat-su Valley II LLC | Hospice Care, Community Based | 950 E Bogard Rd, Suite 132, Wasilla, AK 99654-7105 | 2008-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669862793 | Tlc Home Care LLC | Hospice Care, Community Based | 500 E Tudor Rd Ste 200, Anchorage, AK 99503-7377 | 2015-01-27 |
| 1104185214 | Banner Home Care Arizona | Hospice Care, Community Based | 2001 Gillam Way, Fairbanks, AK 99701-6026 | 2012-05-09 |
| 1891943049 | Anak Limited | Hospice Care, Community Based | 4360 Spenard Rd, Anchorage, AK 99517-2909 | 2008-08-29 |
| 1700094331 | Amazing Grace Alh | Hospice Care, Community Based | 3444 E 16th Ave, Anchorage, AK 99508-3037 | 2007-05-18 |
| 1861518375 | Randel Home Care | Hospice Care, Community Based | 9290 Aphrodite Dr, Anchorage, AK 99515-1498 | 2007-03-22 |
| 1093821373 | Catholic Community Service Inc | Hospice Care, Community Based | 419 6th St, Juneau, AK 99801-1020 | 2006-08-21 |
| 1093746893 | Maxim Healthcare Services, Inc. | Hospice Care, Community Based | 670 W Fireweed Ln, Suite 160, Anchorage, AK 99503-2562 | 2006-07-06 |
| 1881145571 | Fairbanks Memorial Hospital, LLC | Hospice Care, Community Based | 2001 Gillam Way, Fairbanks, AK 99701-6026 | 2016-10-18 |
| 1831595685 | Frontier Home Health and Hospice, LLC | Hospice Care, Community Based | 3909 Artic Blvd, Anchorage, AK 99503-5770 | 2014-11-06 |
| 1346580776 | Bloom Alaska Healthcare Services, LLC | Hospice Care, Community Based | 341 W Tudor Rd, Suite 104, Anchorage, AK 99503-6639 | 2013-02-21 |
| 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.