Organization
MAT-SU VALLEY MEDICAL CENTER LLC
Active
Other names
Mat-Su Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA 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
207RC0000X
Cardiovascular Disease Physician
—
—
208M00000X
Hospitalist Physician
—
AK
261QA1903X
Ambulatory Surgical Clinic/Center
296974
AK
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
296969
AK
3336C0003X
Community/Retail Pharmacy
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HS478IP
—
AK
05
—
HS478OP
—
AK
05
—
MDG427
—
AK
Enumeration date
07/18/2006
Last updated
09/02/2025
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