Organization
MAT SU VALLEY MEDICAL CENTER LLC
Active
Parent organization
MAT SU VALLEY MEDICAL CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAT SU VALLEY MEDICAL CENTER LLC
Authorized official
LAURIE HOLTSFORD (DIRECTOR, BUSINESS OFFICE SUPPORT)
(615) 465-7488
Entity
Organization
Contact information
Practice address
950 BOGARD RD, WASILLA, AK 99654-7105
(907) 352-2888
Mailing address
PO BOX 60000, LOCKBOX 74470, SAN FRANCISCO, CA 94160-0001
(907) 352-2888
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
11/05/2007
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