| NPI | 1912950148 |
|---|---|
| Doing Business As | MAT-SU REGIONAL URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Director Provider Enrollment Cvs 615-465-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X (Licence: AK 299454) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-06-18 |