Mat-Su Surgical Associates Apc

LBN: Mat-Su Surgical Associates Apc
Mat-Su Surgical Associates Apc is an health care organization with primary practice located at 2490 South Woodworth Loop Suite 400, Palmer AK 99645. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Mat-Su Surgical Associates Apc can be contacted via phone (907) 745-9401, or through Lecheminant, Garth W via phone (907) 745-8100.

Contact Information

Primary practice address
2490 South Woodworth Loop Suite 400 Palmer AK 99645
Phone: (907) 745-9401
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lecheminant, Garth W Doctor of Medicine (MD)
Phone: (907) 745-8100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5147 Alaska

Profile Details

NPI number 1396849428
LBN Legal business name Mat-Su Surgical Associates Apc
DBA Doing business as
Authorized official Lecheminant, Garth W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2006
Last updated Apr 9th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396849428 NPPES
Alaska MEDICAID MD5147

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