# MAT SU VALLEY MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MAT SU VALLEY MEDICAL CENTER LLC
- **Other names:** Mat-Su Regional Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003838384
- **Legal business name:** MAT SU VALLEY MEDICAL CENTER LLC
- **Authorized official:** PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
- **Authorized official phone:** (629) 215-3953

## Contact information

- **Practice address:** 2500 S WOODWORTH LOOP, PALMER, AK 99645-8984
- **Practice address phone:** (907) 861-6000
- **Practice address fax:** (907) 861-6559
- **Mailing address:** PO BOX 1687, PALMER, AK 99645-1687
- **Mailing address phone:** (907) 861-6000
- **Mailing address fax:** (907) 861-6559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 296969 | AK | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 04/14/2021