| Name: | MAT-SU VALLEY MEDICAL CENTER, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 28 Mar 2003 (22 years ago) |
| Entity Number: | 79517D |
| Place of Formation: | ALASKA |
| Address: | 4000 MERIDIAN BLVD, FRANKLIN, TN 37067 |
| Name | Role |
|---|---|
| Corporation Service Company | Registered Agent |
| Palmer-Wasilla Health System, LLC | Member |
| Valley Hospital Association, inc. | Member |
| Unique Entity ID | Expiration Date | Physical Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NMG8VGYJNG93 | 2024-09-05 | 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067, 6325, USA | |||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||
| Congressional District | 05 |
| State/Country of Incorporation | AK, USA |
| Activation Date | 2023-09-06 |
| Initial Registration Date | 2020-09-28 |
| Entity Start Date | 2018-04-02 |
| Fiscal Year End Close Date | Dec 20 |
Service Classifications
| NAICS Codes | 622110 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | OLIVIA ALVAREZ |
| Role | PAYMENT CONTROL MANAGER |
| Address | PO BOX 847702, DALLAS, TX, 75284, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | OLIVIA ALVAREZ |
| Role | PAYMENT CONTROL MANAGER |
| Address | PO BOX 847702, DALLAS, TX, 75284, USA |
| Past Performance | - |
|---|
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| PHAR425 | Pharmacy | Pharmacy | Active | 2006-01-09 | 2024-05-09 | 2026-06-30 |
| PHAG40 | Pharmacy | Drug Room | Active | 2006-02-13 | 2024-06-07 | 2026-06-30 |
| Title | Date | Case Type | Status | Open |
|---|---|---|---|---|
| 3AN-06-12646CI Mat-Su Valley Medical Center LLC vs. Advanced Pain Centers of Alaska Inc et al PAM | 2006-10-27 | Civil Superior Ct (3AN) | Closed | Open Case Link |
| 3PA-12-01099CI Erickson, Connie O vs. Downing MD, Peggy A et al GLH | 2012-02-28 | Civil Superior Ct (3PA) | Closed | Open Case Link |
| 3AN-14-08982CI Shafer, Jack et al vs. Downing MD, Peggy A et al FAP | 2014-09-02 | Civil Superior Ct (3AN) | Closed | Open Case Link |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 347330391 | 1050210 | 2024-03-07 | 2500 S WOODWORTH LOOP, PALMER, AK, 99645 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 344671094 | 1050210 | 2020-03-03 | 2490 S WOODWORTH LOOP ATTN: CATHY BABUSCIO, PALMER, AK, 99645 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Type | Inspection |
| Activity Nr | 1467052 |
| Health | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Other |
| Standard Cited | 19101030 G01 I H |
| Issuance Date | 2020-04-30 |
| Current Penalty | 0.0 |
| Initial Penalty | 6964.0 |
| Final Order | 2020-06-29 |
| Nr Instances | 4 |
| Nr Exposed | 16 |
| FTA Current Penalty | 0.0 |
| Citation ID | 01002A |
| Citaton Type | Other |
| Standard Cited | 19101200 E01 |
| Issuance Date | 2020-04-30 |
| Abatement Due Date | 2020-06-17 |
| Current Penalty | 0.0 |
| Initial Penalty | 4916.0 |
| Final Order | 2020-06-29 |
| Nr Instances | 1 |
| Nr Exposed | 16 |
| FTA Current Penalty | 0.0 |
| Citation ID | 01002B |
| Citaton Type | Other |
| Standard Cited | 19101200 E01 I |
| Issuance Date | 2020-04-30 |
| Abatement Due Date | 2020-06-17 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2020-06-29 |
| Nr Instances | 1 |
| Nr Exposed | 16 |
| FTA Current Penalty | 0.0 |
| Citation ID | 01002C |
| Citaton Type | Other |
| Standard Cited | 19101200 G01 |
| Issuance Date | 2020-04-30 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2020-06-29 |
| Nr Instances | 1 |
| Nr Exposed | 16 |
| FTA Current Penalty | 0.0 |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19100305 A02 X |
| Issuance Date | 2020-04-30 |
| Abatement Due Date | 2020-05-27 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2020-06-29 |
| Nr Instances | 2 |
| Nr Exposed | 16 |
| FTA Current Penalty | 0.0 |
| Citation ID | 02002 |
| Citaton Type | Other |
| Standard Cited | 19100305 G01 IV A |
| Issuance Date | 2020-04-30 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2020-06-29 |
| Nr Instances | 1 |
| Nr Exposed | 11 |
| FTA Current Penalty | 0.0 |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
