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CH101289B MAT SU HEALTH SERVICES INC (Active)
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Main Details
Name
MAT SU HEALTH SERVICES INC
Subdivision Name
Big Lake Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024662
340B ID
CH101289B
Grant Number
H80CS04435
Additional Details
Current Program Status
Active
Registration Date
1/8/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/15/2019
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
3261 S. Big Lake Rd. STE F, E7, E8
Big Lake, AK 99654
Billing Address
Mat-Su Health Services, Inc.
1363 W. Spruce Ave.
Wasilla, AK 99654
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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