Mat - Su Health Services Inc.
LBN: Mat - Su Health Services Inc.
Mat - Su Health Services Inc. is an health care organization with primary practice located at 1363 W Spruce Ave , Wasilla AK 99654-5327. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Mat - Su Health Services Inc. can be contacted via phone (907) 376-2411, or through Munson, Kevin via phone (907) 376-2411.
Contact Information
Primary practice address
1363 W Spruce Ave
Wasilla AK 99654-5327
Phone: (907) 376-2411
Fax: (907) 352-3363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | Alaska |
Profile Details
| NPI number | 1184725210 |
|---|---|
| LBN Legal business name | Mat - Su Health Services Inc. |
| DBA Doing business as | |
| Authorized official | Munson, Kevin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jun 10th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184725210 | NPPES |
| Alaska | MEDICAID | RH779FQ | |
| Alaska | MEDICAID | MH0469 |
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