Searhc Front Street Clinic | |
225 Front Street Juneau AK 99801 | |
(907) 586-4230 | |
(907) 586-4237 |
Full Name | Searhc Front Street Clinic |
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Speciality | Clinic/Center |
Location | 225 Front Street, Juneau, Alaska |
Authorized Official Name and Position | Daniel Harris (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 9074634000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Searhc Front Street Clinic 3100 Channel Drive Ste 300 Attn: Provider Enrollment Juneau AK 99801 Ph: (907) 463-4000 | Searhc Front Street Clinic 225 Front Street Juneau AK 99801 Ph: (907) 586-4230 |
NPI Number | 1194261594 |
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Provider Enumeration Date | 01/10/2017 |
Last Update Date | 12/29/2020 |
Certification Date | 12/29/2020 |
Medicare PECOS PAC ID | 1456265362 |
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Medicare Enrollment ID | O20170710000985 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194261594 | NPI | - | NPPES |
1662851 | Medicaid | AK | |
1684455 | Medicaid | AK | |
70206 | Other | AK | BUSINESS LICENSE |
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