# STATE OF ALASKA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mat-Su Public Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205958287
- **Authorized official:** MS. VIOLA JEAN HAROSIA CNM (NURSE PRACTIONER)
- **Authorized official phone:** (907) 352-6650

## Contact information

- **Practice address:** 3223 PALMER WASILLA HWY, SUITE 3, WASILLA, AK 99654-7236
- **Practice address phone:** (907) 352-6600
- **Practice address fax:** (907) 376-3096
- **Mailing address:** 3223 PALMER WASILLA HWY, SUITE 3, WASILLA, AK 99654-7236
- **Mailing address phone:** (907) 352-6600
- **Mailing address fax:** (907) 376-3096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | AK529 | AK | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | NPO529PH0529 | — | AK |
