Providence Matanuska Health Care
LBN: Providence Health & Services - Washington
Providence Matanuska Health Care is an health care organization with primary practice located at 2250 S. Woodworth Loop Suite 101, Palmer AK 99645. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Providence Health & Services - Washington can be contacted via phone (907) 761-5900, or through Palmer, Mark Thomas via phone (907) 761-5916.
Contact Information
Primary practice address
2250 S. Woodworth Loop Suite 101
Palmer AK 99645
Phone: (907) 761-5900
Fax: (907) 761-5975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1093720534 |
|---|---|
| LBN Legal business name | Providence Health & Services - Washington |
| DBA Doing business as | Providence Matanuska Health Care |
| Authorized official | Palmer, Mark Thomas |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Dec 13th, 2011 - about 14 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 | 1093720534 | NPPES |
| Alaska | MEDICAID | MDG669 |
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