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Contact Information

MAT SU VALLEY MEDICAL CENTER LLC
2500 S WOODWORTH LOOP
PALMER, AK99645-8984
 Phone: 907-861-6000
 Fax: 907-861-6559
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medicare Defined Swing Bed Unit

275N00000X A0[7] Hospital-Swing Bed Approved
Indicates primary specialty

NPI Profile & details for MAT SU VALLEY MEDICAL CENTER LLC

NPI Number 1003838384
LBN Legal business name MAT SU VALLEY MEDICAL CENTER LLC
Authorized official PAULA LALOR - (DIRECTOR/DELEGATED OFFICIAL)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/24/2006
Last updated 04/14/2021 - About 5 years ago
Identifiers
AK License # 296969
AK Medicaid HS47SB
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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