NPIMap

Organization Active NPI

Mat Su Valley Medical Center LLC

  • Durable Medical Equipment & Medical Supplies
  • Wasilla, AK
National Provider Identifier
1932282472
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MAT SU VALLEY MEDICAL CENTER LLC
Practice address
950 Bogard Rd
Wasilla, AK 99654-7105
Phone
(907) 352-2888
NPI assigned
Oct 20, 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 Support
Phone
(615) 465-7488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

950 Bogard Rd
Wasilla, AK 99654-7105

Mailing address

PO Box 60000
Lockbox 74470
San Francisco, CA 94160-0001
Phone (907) 352-2888

National Provider Directory

National Provider Directory
Tax ID family
Mat Su Valley Med Ctr 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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1932282472",
    "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": "941600001",
            "telephone_number": "907-352-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 BOGARD RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547105",
            "telephone_number": "907-352-2888"
        }
    ],
    "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": "2006-10-20",
        "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 SUPPORT",
        "authorized_official_telephone_number": "615-465-7488"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.