| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
News Archive
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The Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 561 S Denali St Ste E, Palmer, AK 99645 Phone: 907-745-1777 Fax: 907-745-0226 | |
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