Organization
MAT SU VALLEY MEDICAL CENTER LLC
Active
Parent organization
MAT SU VALLEY MEDICAL CENTER LLC
Other names
Mat-Su Regional Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAT SU VALLEY MEDICAL CENTER LLC
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
2500 S WOODWORTH LOOP, PALMER, AK 99645-8984
(907) 861-6000
(907) 861-6559
Mailing address
PO BOX 1687, PALMER, AK 99645-1687
(907) 861-6000
(907) 861-6559
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
296969
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HS47SB
—
AK
Enumeration date
07/24/2006
Last updated
04/14/2021
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