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CH1012890 MAT SU HEALTH SERVICES INC (Active)
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Main Details
Name
MAT SU HEALTH SERVICES INC
Subdivision Name
Mat-Su Health Services, Inc.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004428
340B ID
CH1012890
Grant Number
H80CS04435
Additional Details
Current Program Status
Active
Registration Date
10/1/2005
Participating Start Date
9/9/2005
Participating Approval Date
7/29/2005
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Mat-Su Health Services, Inc.
Kevin Munson, Chief Executive Officer
(907) 376-2411
Primary Contact
Mat-Su Health Services
Justine Soller, Compliance Officer
(907) 352-3226
Addresses
Street Address
1363 W Spruce Ave
Wasilla, AK 99654-5327
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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2/17/06 UPDATED ENTITY NAME (WAS BEHAVIORAL HEALTH SERVICES OF MAT SU, INC.)
01/22/2010
April 2025
April 2025
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