MEDICARE: MATTHEW VALENTIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center		AK

General Provider Information

NPI Number	:	1770454597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW VALENTIN

Provider Business Mailing Address
First Line	:	3138 MONKSHOOD LN
Second Line	:
City	:	NORTH POLE
State	:	AK
Zip	:	99705-6816
Country	:	US
Telephone Number	:	907-385-5769
Fax Number	:

Provider Business Practice Location Address
First Line	:	3138 MONKSHOOD LN
Second Line	:
City	:	NORTH POLE
State	:	AK
Zip	:	99705-6816
Country	:	US
Telephone Number	:	907-385-5769
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	10/23/2025

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Directions to “ MATTHEW VALENTIN ” Practice Location

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