Active NPI
Mat-Su Regional Medical Center
- General Acute Care Hospital
- Palmer, AK
National Provider Identifier
1750530945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- MAT-SU REGIONAL MEDICAL CENTER
- Practice address
- 2500 S Woodworth Loop
Palmer, AK 99645-8984 - Phone
- (907) 861-6000
- Fax
- (907) 861-2802
- NPI assigned
- Sep 12, 2008
- Last updated
- Sep 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Norman Stephens
- Title
- Chief Executive Officer
- Phone
- (907) 861-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | AK | Primary |
Addresses
Primary practice location
2500 S Woodworth Loop
Palmer, AK 99645-8984
Mailing address
2500 S Woodworth Loop
Palmer, AK 99645-8984
Phone (907) 861-6000
National Provider Directory
National Provider Directory- Tax ID family
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Wasilla, AK
- NPI 1932282472
Locations
2480 S Woodworth Loop
Ste 150
Palmer, AK 99645
Phone (907) 352-2810
2490 S Woodworth Loop
Ste 410
Palmer, AK 99645
Phone (807) 745-8100
Interoperability endpoints
- https://api.platform.athenahealth.com/2839/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Palmer, AK
- NPI 1164829354
-
- Family Medicine Physician
- Palmer, AK
- NPI 1508878885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221177600000",
"number": "1750530945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 S WOODWORTH LOOP",
"city": "PALMER",
"state": "AK",
"postal_code": "996458984",
"telephone_number": "907-861-6000",
"fax_number": "907-861-2802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 S WOODWORTH LOOP",
"city": "PALMER",
"state": "AK",
"postal_code": "996458984",
"telephone_number": "907-861-6000",
"fax_number": "907-861-2802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAT-SU REGIONAL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-12",
"last_updated": "2008-09-12",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "NORMAN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "907-861-6000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "AK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmer, AK
- Mat Su Valley Medical Center LLC (Mat-Su Regional Medical Center)
- Mat-Su Dermatology, LLC
- Mat-Su Ear, Nose, Throat & Facial Plastics, Inc.
- Mat-Su Emergency Medicine Physicians Corp
- Mat-Su Plastic Surgery LLC
- Mat-Su Valley III LLC
- Mat-Su Valley III LLC
- Mat-Su Valley III LLC (Mat Su Urgent Care - Palmer)
- Mat-Su Valley III LLC (Mat-Su Urgent Care)
- Mat-Su Valley Medical Center LLC (Mat-Su Regional Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.