NPIMap

Organization Active NPI

Mat Su Valley Medical Center LLC

Doing business as Mat-Su Regional Hospice

  • Community Based Hospice Care Agency
  • Wasilla, AK
National Provider Identifier
1669425898
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
297764 Issued in AK
Legal business name
MAT SU VALLEY MEDICAL CENTER LLC
Doing business as
Mat-Su Regional Hospice
Practice address
3051 Palmer Wasilla Hwy
Wasilla, AK 99654-7234
Phone
(907) 861-6000
Fax
(907) 861-6559
NPI assigned
May 18, 2006
Last updated
Nov 5, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
MAT SU VALLEY MEDICAL CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laurie Holtsford
Title
Director, Business Office Director
Phone
(615) 465-7488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 297764 AK Primary

Addresses

Primary practice location

3051 Palmer Wasilla Hwy
Wasilla, AK 99654-7234

Mailing address

PO Box 60000
Lockbox 74470
San Francisco, CA 94160
Phone (907) 861-6000

Other names 1

  • Mat-Su Regional Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mat Su Valley Medical Center LLC2 organizations share this tax ID, including this one
Part of
Mat Su Valley Med Ctr LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1669425898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60000",
            "address_2": "LOCKBOX 74470",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94160",
            "telephone_number": "907-861-6000",
            "fax_number": "907-861-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 PALMER WASILLA HWY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547234",
            "telephone_number": "907-861-6000",
            "fax_number": "907-861-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAT SU VALLEY MEDICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAT SU VALLEY MEDICAL CENTER LLC",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR, BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "615-465-7488"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AK",
            "license": "297764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mat-Su Regional Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.