MAT-SU VALLEY III LLC (NPI# 1861935975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861935975 |
| Entity Type | Organization |
| Organization Name | MAT-SU VALLEY III LLC |
| Other Organization Name | MAT-SU URGENT CARE |
| Practice Address |
5851 South Knik-goose Bay Road Wasilla AK 99623 |
| Mailing Address |
Po Box 689022 Franklin TN 37068-9022 |
| Practice Telephone | 9078641300 |
| Practice Fax Number | 9078641305 |
| Mailing Telephone | 6154657000 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2017-09-13 |
| Authorized Official Name | MICHAEL A SWAW (DIRECTOR) |
| Authorized Official Telephone | 6157788076 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
AK | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mat-Su Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518472984 | Mat-su Valley IIi LLC | Clinic/Center | 209 W Evergreen Ave, Palmer, AK 99645-6952 | 2017-12-07 |
| 1366752560 | Mat-su Valley IIi LLC | Internal Medicine | 950 E Bogard Rd, Suite 207, Wasilla, AK 99654-7184 | 2010-10-21 |
| Street Address |
5851 SOUTH KNIK-GOOSE BAY ROAD |
| City | WASILLA |
| State | AK |
| Zip Code | 99623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104723 | Lisa Newell | Home Health Aide | 7945 S. Settlers Bay Dr, Wasilla, AK 99623 | 2020-01-28 |
| 1780238014 | Bradley Duke Ischinger | Physical Therapy Assistant | 6701 Blondell Drive, Wasilla, AK 99623 | 2019-07-25 |
| 1508423625 | Ramon Ortiz | Counselor | 3940 N. El Taino Circle, Wasilla, AK 99623 | 2019-05-23 |
| 1689239782 | Kristine Ione Bayne | Counselor | 2651 N. Thordore Dr, Wasilla, AK 99623 | 2019-05-03 |
| 1801450382 | Desiree Feringa | Case Manager/Care Coordinator | 6640 S Calista Drive, Wasilla, AK 99623 | 2019-04-30 |
| 1861966269 | Tina Renee Hopkins | Assisted Living Facility | 3471 W Wren St, Wasilla, AK 99623 | 2019-01-18 |
| 1801382981 | Jaimie M Church | Social Worker | 6100 W Robin Hood Lane, Wasilla, AK 99623 | 2018-07-02 |
| 1972980639 | Jesika Harrell | Physician Assistant | 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 | 2015-05-01 |
| 1497175418 | Mark Hull | Contractor | 1465 N Meadow Lakes Loop, Wasilla, AK 99623 | 2014-04-17 |
| 1710992581 | Allan Alberton | Family Medicine | 2200 S Creekshore Cir, Wasilla, AK 99623 | 2006-07-30 |
| Find all providers in zip 99623 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275587768 | Urgent Care At Lake Lucille Inc | Clinic/Center | 185 E Parks Hwy, Wasilla, AK 99654-7038 | 2006-05-20 |
| 1013469741 | Medical Group of Alaska | Clinic/Center | 3066 E Meridian Park Loop, Wasilla, AK 99654-7254 | 2016-10-28 |
| 1538414834 | Medical Network of Alaska, LLC | Clinic/Center | 3066 E Meridian Park Loop, Suite 2, Wasilla, AK 99654 | 2012-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1588207179 | Central Peninsula General Hospital, Inc | Clinic/Center | 10128 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-10-25 |
| 1003339334 | Kenai Peninsula Health System LLC Urgent Care of Soldotna | Clinic/Center | 44604 Sterling Hwy Ste D, Soldotna, AK 99669-7962 | 2017-07-19 |
| 1710358809 | Anchorage Medical Services, Inc | Clinic/Center | 3401 Minnesota Dr Ste 100, Anchorage, AK 99503-3684 | 2015-10-14 |
| 1770724510 | Horizon Medical, Inc | Clinic/Center | 238.8 Parks Highway, Denali Park, AK 99755 | 2009-03-06 |
| 1366596504 | Kodiak Island Ambulatory Care Clinic Inc. | Clinic/Center | 202 Center Ave, Ste. 102, Kodiak, AK 99615-1126 | 2007-01-23 |
| 1578655213 | First Care Medical Centers LLC | Clinic/Center | 1301 Huffman Rd, Suite 100, Anchorage, AK 99515-3568 | 2006-09-29 |
| 1609871391 | Cross Road Health Ministries, Inc. | Clinic/Center | Mile 187 Glenn Highway, Glennallen, AK 99588-0589 | 2005-06-17 |
| 1306484332 | Urgent Care of Soldotna Inc. | Clinic/Center | 44604 Sterling Hwy Ste D, Soldotna, AK 99669-7962 | 2019-12-20 |
| 1518472984 | Mat-su Valley IIi LLC | Clinic/Center | 209 W Evergreen Ave, Palmer, AK 99645-6952 | 2017-12-07 |
| 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.