# MAT-SU VALLEY III LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mat Su Urgent Care - Palmer
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518472984
- **Authorized official:** JENNIFER L JACKSON (SENIOR DIRECTOR)
- **Authorized official phone:** (615) 465-3334

## Contact information

- **Practice address:** 209 W EVERGREEN AVE, PALMER, AK 99645-6952
- **Practice address phone:** (907) 861-1400
- **Practice address fax:** (907) 861-1405
- **Mailing address:** PO BOX 689022, FRANKLIN, TN 37068-9022
- **Mailing address phone:** (615) 465-7042
- **Mailing address fax:** (615) 628-6877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | AK | Yes |

## Other

- **Enumeration date:** 12/07/2017
- **Last updated:** 06/15/2021

## Other identifiers

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