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Organization
MAT SU VALLEY MEDICAL CENTER LLC
Active
Organization
MAT SU VALLEY MEDICAL CENTER LLC
Active
Parent organization
MAT SU VALLEY MEDICAL CENTER LLC
Other names
Mat-Su Regional Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAT SU VALLEY MEDICAL CENTER LLC
Authorized official
KRISTINA MUSIC (DIRECTOR PROVIDER ENROLLMENT)
(877) 892-9815
Entity
Organization
Contact information
Practice address
950 E BOGARD RD STE 103, WASILLA, AK 99654-7184
(907) 352-2880
(907) 352-2885
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7042
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
299454
AK
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020601
—
AK
Enumeration date
05/18/2006
Last updated
04/21/2025
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