Providence Matanuska Health Care | |
2250 S. Woodworth Loop Suite 101 Palmer AK 99645 | |
(907) 761-5900 | |
(907) 761-5975 |
Full Name | Providence Matanuska Health Care |
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Speciality | Family Medicine |
Location | 2250 S. Woodworth Loop, Palmer, Alaska |
Authorized Official Name and Position | Mark Thomas Palmer (CLINIC ADMINISTRATOR) |
Authorized Official Contact | 9077615916 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Providence Matanuska Health Care 2250 S. Woodworth Loop Suite 101 Palmer AK 99645 Ph: (907) 761-5900 | Providence Matanuska Health Care 2250 S. Woodworth Loop Suite 101 Palmer AK 99645 Ph: (907) 761-5900 |
NPI Number | 1093720534 |
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Provider Enumeration Date | 07/31/2006 |
Last Update Date | 12/13/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093720534 | NPI | - | NPPES |
MDG669 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
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