MAT-SU VALLEY MEDICAL CENTER LLC
Internal Medicine (Cardiovascular Disease)

Address: 2500 S Woodworth Loop, Palmer, AK 99645-8984

MAT-SU VALLEY MEDICAL CENTER LLC (NPI# 1417975061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417975061
Entity Type Organization
Organization Name MAT-SU VALLEY MEDICAL CENTER LLC
Practice Address 2500 S Woodworth Loop
Palmer
AK 99645-8984
Practice Telephone 9078616000
Practice Fax Number 9078616559
Mailing Address Po Box 1687
Palmer
AK 99645-1687
Mailing Telephone 9078616000
Mailing Fax Number 9078616559
Enumeration Date 2006-07-18
Last Update Date 2018-02-22
Authorized Official Telephone 6159254565
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
193200000X MULTI-SPECIALTY GROUP Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist 193200000X MULTI-SPECIALTY GROUP AK Allopathic & Osteopathic Physicians
N 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
296974 AK Ambulatory Health Care Facilities
Y 282N00000X General Acute Care Hospital 296969 AK Hospitals
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
AK Suppliers

Other Provider Identifiers

Identifier State Issuer Type Code
HS478IP AK MEDICAID
HS478OP AK MEDICAID
MDG427 AK MEDICAID

Office Location

Street Address 2500 S WOODWORTH LOOP
City PALMER
State AK
Zip Code 99645-8984

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003838384 Mat Su Valley Medical Center LLC · Mat-Su Regional Medical Center Medicare Defined Swing Bed Unit 2500 S Woodworth Loop, Palmer, AK 99645-8984 2006-07-24
1720603939 Robert A Grogan Pharmacist · Critical Care 2500 S Woodworth Loop, Palmer, AK 99645-8984 2020-06-12
1184258170 Michelle Hailey Allen Registered Nurse 2500 S Woodworth Loop, Palmer, AK 99645-8984 2020-02-27
1528615424 Tara E Bonardi Nurse Anesthetist, Certified Registered 2500 S Woodworth Loop, Palmer, AK 99645-8984 2019-08-25
1619532215 Eric Atkinson Registered Nurse 2500 S Woodworth Loop, Palmer, AK 99645-8984 2019-05-08
1588133748 Erin Alaina Reding Nurse Practitioner · Acute Care 2500 S Woodworth Loop, Palmer, AK 99645-8984 2018-11-17
1043722929 Fireweed Surgical Assists LLC Nurse Practitioner · Acute Care 2500 S Woodworth Loop, Palmer, AK 99645-8984 2017-10-31
1740713866 Annette Kasprzak Emergency Medicine 2500 S Woodworth Loop, Palmer, AK 99645-8984 2017-04-05
1669858106 Jesse Atwood Md Pediatrics, LLC · Jesse Atwood Md Pediatrics Pediatrics 2500 S Woodworth Loop, Palmer, AK 99645-8984 2015-08-06
1881080018 Kili Grace O'Bryant · Kili Grace Wetherell Emergency Medicine 2500 S Woodworth Loop, Palmer, AK 99645 2015-04-14
Find all providers in the same address

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1508451402 Noah Timothy Tyler Richards Physical Therapy Assistant 1734 Prospect Drive, Palmer, AK 99645 2021-03-03
1497342620 Residential Adults With Disabilities, LLC Assisted Living Facility 5400 N. Bonnie Dr., Palmer, AK 99645 2020-12-22
1295357135 Kasey M Flintoft Occupational Therapist 7200 E. Jim Cottrell Cir, Palmer, AK 99645 2020-05-14
1629601471 Courtney Randol Licensed Practical Nurse 14405 E Pace Dr., Palmer, AK 99645 2020-02-20
1689213092 Valerie Anne Delaune Acupuncturist 9693 N. Little Otter Dr., Palmer, AK 99645 2020-01-02
1417593856 Kimberly Kaye Hilborn Massage Therapist 15605 E Devries Circle, Palmer, AK 99645 2019-11-20
1548814718 Maple Springs of Palmer Snf Holdings, LLC Skilled Nursing Facility 12130 E Maple Springs Way, Palmer, AK 99645 2019-07-26
1366938375 Wendy S Page Behavior Technician 7200 E Jim Cottrell, Wasilla, AK 99645 2018-07-03
1003319476 Zachary Richards Chiropractor 1734 Prospect Dr, Palmer, AK 99645 2018-03-13
1558885137 Garland Brooks Massage Therapist 1934 Prospect Dr, Palmer, AK 99645 2017-07-26
Find all providers in zip 99645

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356597827 Herman H.h. Feringa 2490 S Woodworth Loop Ste 250, Palmer, AK 99645-7407 2008-08-14
1003874439 Rodney S Badger 2490 S Woodworth Loop Ste 200, Palmer, AK 99645-7410 2006-05-03
1568635357 Ryan Mcdonough 2490 S Woodworth Loop Ste 250, Palmer, AK 99645-7407 2008-04-11
1316023146 Zachry Peter Zichittella 40 Wright St, Palmer, MA 01069-1138 2006-10-27
1588682082 Brian Jeremiah Laliberte 40 Wright St, Palmer, MA 01069-1138 2006-07-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083171342 Aer Medical LLC · Aer Medical, LLC 291 N Fireweed St, Soldotna, AK 99669-7540 2019-02-22
1093070138 Saaransh Rakesh Desai 4315 Diplomacy Drive, Department of Cardiology, Anchorage, AK 99508 2012-07-04
1790056927 David M. Stieber Md Facc, Inc 1626 30th Ave Ste 204, Fairbanks, AK 99701-7423 2012-01-19
1356597827 Herman H.h. Feringa 2490 S Woodworth Loop Ste 250, Palmer, AK 99645-7407 2008-08-14
1215103528 Lee Moschler Pierson 1650 Cowles St Dept 60a, Fairbanks, AK 99701-5907 2008-05-06
1134211584 David M Stieber 1626 30th Avenue Ste 204, Fairbanks, AK 99701-7423 2006-09-29
1083635742 Thomas K Kramer 3841 Piper Street, Suite T100, Anchorage, AK 99508 2006-07-21
1447275813 James A Baldauf 3841piper Street, Suite T100, Anchorage, AK 99508 2006-07-13
1003874439 Rodney S Badger 2490 S Woodworth Loop Ste 200, Palmer, AK 99645-7410 2006-05-03
1144207630 Bujung Zen 3rd Mdg / Internal Medicine Clinic, 5955 Zeamer Avenue, Elmendorf Afb, AK 99506 2005-12-27
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City PALMER
Zip Code 99645

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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