| Searhc Montana Creek Residential Facility | |
|
10801 Black Bear Road Juneau AK 99801-7809 | |
| (907) 523-6582 | |
| (907) 789-1265 |
| Full Name | Searhc Montana Creek Residential Facility |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10801 Black Bear Road, Juneau, Alaska |
| Authorized Official Name and Position | David Edwards (VP OF FINANCE) |
| Authorized Official Contact | 9074634061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Searhc Montana Creek Residential Facility 222 Tongass Dr Sitka AK 99835-9416 Ph: (907) 966-2411 | Searhc Montana Creek Residential Facility 10801 Black Bear Road Juneau AK 99801-7809 Ph: (907) 523-6582 |
| NPI Number | 1487770491 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487770491 | NPI | - | NPPES |
| MH6274 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 70206 (Alaska) | Primary |
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