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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

General Acute Care Hospital

282N00000X A0[7] Hospital-General
 

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Hospitalist

208M00000X
 

Sleep Disorder Diagnostic

261QS1200X
Indicates primary specialty

NPI Profile & details for MAT-SU VALLEY MEDICAL CENTER LLC

NPI # 1417975061
LBN Legal business name MAT-SU VALLEY MEDICAL CENTER LLC
Authorized official PAULA LALOR - (DIRECTOR/DELEGATED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2006
Last updated 09/02/2025 - About 9 months ago
Identifiers
AK License # 296969
AK License # 296974
AK Medicaid HS478IP
AK Medicaid HS478OP
AK Medicaid MDG427
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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