| Searhc Aics Medical Clinic | |
|
232 Wood Street Ste 100 Wrangell AK 99929 | |
| (907) 874-4700 | |
| (907) 874-4719 |
| Full Name | Searhc Aics Medical Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 232 Wood Street, Wrangell, Alaska |
| Authorized Official Name and Position | Daniel Harris (VP/CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9074634000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Searhc Aics Medical Clinic 3100 Channel Drive Ste 300 Attn: Provider Enrollment Juneau AK 99801 Ph: (907) 463-4000 | Searhc Aics Medical Clinic 232 Wood Street Ste 100 Wrangell AK 99929 Ph: (907) 874-4700 |
| NPI Number | 1922544329 |
|---|---|
| Provider Enumeration Date | 01/10/2017 |
| Last Update Date | 12/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922544329 | NPI | - | NPPES |
| 1663301 | Medicaid | AK | |
| 70206 | Other | AK | BUSINESS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Searhc Aics Hpg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Bennett St, Wrangell, AK 99929 Phone: 907-874-4700 Fax: 907-874-4719 | |
Alaska Island Community Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Lynch Street, Wrangell, AK 99929 Phone: 907-874-2373 | |
Alaska Island Community Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Church Street, Wrangell, AK 99929 Phone: 907-874-2373 | |
Searhc Wrangell Medical Center Hpg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 Wood Street, Wrangell, AK 99929 Phone: 907-874-7000 Fax: 907-874-7122 | |
Alaska Island Community Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Lynch Street, Wrangell, AK 99929 Phone: 907-874-5012 | |
Searhc Wrangell Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 232 Wood Street, Wrangell, AK 99929 Phone: 907-874-7000 Fax: 907-874-7122 | |
Alaska Island Community Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 Wood St, Wrangell, AK 99929 Phone: 907-874-4700 |