| Southeast Alaska Regional Health Consortium | |
|
Eight Street Extension Hydaburg AK 99922 | |
| (907) 285-3462 | |
| (907) 285-3464 |
| Full Name | Southeast Alaska Regional Health Consortium |
|---|---|
| Speciality | Community/behavioral Health |
| Location | Eight Street Extension, Hydaburg, Alaska |
| Authorized Official Name and Position | Daniel Harris (VP/CFO) |
| Authorized Official Contact | 9074634000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Alaska Regional Health Consortium 3100 Channel Dr Ste 300 Juneau AK 99801-7837 Ph: (907) 463-4074 | Southeast Alaska Regional Health Consortium Eight Street Extension Hydaburg AK 99922 Ph: (907) 285-3462 |
| NPI Number | 1104457084 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 01/30/2020 |
| Certification Date | 01/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104457084 | NPI | - | NPPES |
| 70206 | Other | AK | STATE OF ALASKA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Hydaburg City School District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Totem Park Lane, Hydaburg, AK 99922 Phone: 907-401-3359 Fax: 907-285-3391 |