MAT-SU SERVICES FOR CHILDREN & ADULTS – Case Management Agency, NPI 1104950419

MAT-SU SERVICES FOR CHILDREN & ADULTS is a healthcare provider. based in Wasilla, Alaska. specializing in Case Management Agency. The organization holds a License No. 403503 (AK). The NPI Number for MAT-SU SERVICES FOR CHILDREN & ADULTS is 1104950419

Main info

Organization
Name
MAT-SU SERVICES FOR CHILDREN & ADULTS
NPI
1104950419
Phone
(907) 352-1200
Address
1225 W SPRUCE AVE
Authorized Official
KALEB JOHNSON EXECUTIVE DIRECTOR
Enumeration Date
16 March 2007
Last Update Date
25 November 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MAT-SU SERVICES FOR CHILDREN & ADULTS

  • 1225 W SPRUCE AVE

    WASILLA, AK 996545326

    Phone: (907) 352-1200

    Fax: (907) 352-1249

    Type: Mailing

  • 5000 SHENNUM DR

    WASILLA, AK 996547718

    Phone: (907) 352-1200

    Fax: (907) 352-1249

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 99654)

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Frequently asked questions

Is there an official ID for MAT-SU SERVICES FOR CHILDREN & ADULTS in U.S. healthcare records?
The official identifier for MAT-SU SERVICES FOR CHILDREN & ADULTS is NPI 1104950419.
Would MAT-SU SERVICES FOR CHILDREN & ADULTS appear as active to a payer?
You can treat MAT-SU SERVICES FOR CHILDREN & ADULTS as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MAT-SU SERVICES FOR CHILDREN & ADULTS?
At a glance, MAT-SU SERVICES FOR CHILDREN & ADULTS is tied to Case Management Agency. Clinical services aligned with this taxonomy classification.
Where in Alaska is MAT-SU SERVICES FOR CHILDREN & ADULTS registered?
Use Wasilla, Alaska as the headline location for MAT-SU SERVICES FOR CHILDREN & ADULTS here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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