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MAT SU URGENT CARE - PALMER
NPI 1518472984
Clinic/Center - Urgent Care in Palmer, AK

Active since December 07, 2017CLIA 02D2126621 · Waiver
209 W EVERGREEN AVE, PALMER, AK 99645(907) 861-1400(907) 861-1405 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 15, 2021, Dec 7, 2017 (2 updates tracked since 2017).

About Mat Su Urgent Care - Palmer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAT SU URGENT CARE - PALMER (NPI 1518472984) is a healthcare organization registered as an urgent care in Palmer, Alaska and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Jennifer L Jackson, Senior Director, as its authorized official.

NPPES Registry Identity

NPI1518472984
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMAT-SU VALLEY III LLC
Location Address209 W EVERGREEN AVEPalmer, AK 99645-6952
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7042 · Fax (615) 628-6877
Phone(907) 861-1400
Fax(907) 861-1405
Organization SubpartNo
Authorized OfficialJennifer L JacksonSenior Director · (615) 465-3334
Enumeration DateDecember 7, 2017
Last NPPES UpdateJune 15, 20212 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
✔ NPI 1518472984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
209 W EVERGREEN AVE, Palmer, AK 99645
Open in Google Maps ↗

Other Names 1

Doing Business AsMat Su Urgent Care - Palmer

Other Identifiers 1

MedicaidPENDINGAK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 02D2126621

Mat-Su Urgent Care Palmer · Palmer, AK
Active · expires Mar 11, 2028
CLIA Number02D2126621
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorWayne Wilson
Laboratory Phone(907) 861-1400
Laboratory LocationMat-Su Urgent Care Palmer209 W Evergreen Ave, Ste B, Palmer, AK 99645
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REBEKAH A. ROBINSON M.D.
Family Medicine
209 W EVERGREEN AVE
PALMER, AK 99645
Matanuska-Susitna Borough (907) 861-1450
MR. BENJAMIN DAVID EACHON PA-C, 1LT
Physician Assistant
209 W EVERGREEN AVE
PALMER, AK 99645
Matanuska-Susitna Borough (907) 861-1400
MICAH DAVID RENICKER MD
Family Medicine
209 W EVERGREEN AVE
PALMER, AK 99645
Matanuska-Susitna Borough (907) 861-1450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mat-Su Valley III LLC's NPI number?

The NPI number for Mat-Su Valley III LLC is 1518472984. It was assigned to this organization in the NPPES registry on December 7, 2017. The provider is doing business as Mat Su Urgent Care - Palmer.

Where is Mat-Su Valley III LLC located?

Mat-Su Valley III LLC is located at 209 W Evergreen Ave, Palmer, AK 99645. The listed phone number is (907) 861-1400.

What is Mat-Su Valley III LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Mat-Su Valley III LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2126621) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mat-Su Valley III LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mat-Su Valley III LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mat-Su Valley III LLC was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.