OIG exclusion detail
MAT-SU ACTIVITY AND RESPITE CE
This page shows an imported LEIE row. Verify details against the official OIG source before acting.
Imported OIG rowOfficial OIG source
- NPI
- 1679603740
- Name
- MAT-SU ACTIVITY AND RESPITE CE
- Address
- 951 E BOGARD RD, STE 101, WASILLA, AK, 99654
- Specialty
- MENTAL/BEHAVIORAL HE
- Exclusion type
- 1128a1
- Exclusion date
- 20151020
- Reinstatement date
- 00000000
- Waiver
- 00000000
Source snapshot
Imported: May 05, 2026
Rows: 83,001
Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7
Open matching NPI page