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MAT-SU INTEGRATIVE MEDICINE
NPI 1649584566
Family Medicine in Wasilla, AK

Active since August 03, 2010
545 N KNIK ST, UNIT B, WASILLA, AK 99654(907) 357-2322 Get Directions Write a Review

NPPES record last updated: August 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mat-su Integrative Medicine NPPES

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

MAT-SU INTEGRATIVE MEDICINE (NPI 1649584566) is a healthcare organization registered as a family medicine in Wasilla, Alaska and active in the NPI registry since August 2010. The organization lists Ty R Vincent, Owner, as its authorized official.

NPPES Registry Identity

NPI1649584566
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAT-SU INTEGRATIVE MEDICINE
Location Address545 N KNIK ST, UNIT BWasilla, AK 99654-7022
Mailing Address545 N Knik St, Unit BWasilla, AK 99654-7022 · (907) 357-2322
Phone(907) 357-2322
Organization SubpartNo
Authorized OfficialTy R VincentOwner · (907) 357-2322
Enumeration DateAugust 3, 2010
✔ NPI 1649584566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AK · AK5545✔ Licensed in AK · AK5699
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedAcupuncturistTaxonomy 171100000X · License AK134 (AK)
Also ListedClinical Nurse Specialist · Women's HealthTaxonomy 364SW0102X · License AK560 (AK)
545 N KNIK ST, Wasilla, AK 99654
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MR. VIRGIL THOMAS MILLER LAC.
Acupuncturist
545 N KNIK ST, UNIT B
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 357-1818

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 Integrative Medicine's NPI number?

The NPI number for Mat-Su Integrative Medicine is 1649584566. It was assigned to this organization in the NPPES registry on August 3, 2010.

Where is Mat-Su Integrative Medicine located?

Mat-Su Integrative Medicine is located at 545 N Knik St Unit B, Wasilla, AK 99654. The listed phone number is (907) 357-2322.

What is Mat-Su Integrative Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mat-Su Integrative Medicine was last updated on August 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.