| Southeast Alaska Regional Health Consortium | |
|
10815 Black Bear Rd Juneau AK 99801-8783 | |
| (907) 789-7610 | |
| Not Available |
| Full Name | Southeast Alaska Regional Health Consortium |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10815 Black Bear Rd, Juneau, Alaska |
| Authorized Official Name and Position | Daniel Harris (SEVP/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 10815 Black Bear Rd Juneau AK 99801-8783 Ph: (907) 789-7610 |
| NPI Number | 1013618552 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 03/13/2023 |
| Certification Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013618552 | NPI | - | NPPES |
| 70206 | Other | AK | STATE OF ALASKA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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