Providence Matanuska Health Care – Family Medicine Physician, NPI 1093720534

Providence Matanuska Health Care is a healthcare provider. based in Palmer, Alaska. specializing in Family Medicine Physician. The NPI Number for Providence Matanuska Health Care is 1093720534

Main info

Organization
Name
Providence Matanuska Health Care
NPI
1093720534
Phone
(907) 761-5900
Address
2250 S. WOODWORTH LOOP
Authorized Official
DONALD WAYNE ANDERSON JR. ASSISTANT SECRETARY OF ENROLLMENTS
Enumeration Date
31 July 2006
Last Update Date
15 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Providence Matanuska Health Care

  • 2250 S. WOODWORTH LOOP

    SUITE 101

    PALMER, AK 99645

    Phone: (907) 761-5900

    Fax: (907) 761-5975

    Type: Mailing

  • PO BOX 4105

    PORTLAND, OR 972084105

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99645)

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Reviews

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Frequently asked questions

What identifier follows Providence Matanuska Health Care across health systems?
The NPI 1093720534 uniquely identifies Providence Matanuska Health Care in U.S. healthcare data.
Quick check: is Providence Matanuska Health Care active?
Public NPPES data shows Providence Matanuska Health Care with an active NPI status right now.
What type of care does Providence Matanuska Health Care provide?
Providence Matanuska Health Care's profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Providence Matanuska Health Care in Palmer, Alaska?
For routing, start with Palmer, Alaska for Providence Matanuska Health Care, then verify phone and hours locally.
Who maintains Providence Matanuska Health Care's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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