Full Name | |
---|---|
Speciality | Family Medicine |
Location | 222 Tongass Dr, Sitka, Alaska |
Authorized Official Name and Position | Daniel Neumeister (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 9074634000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
3100 Channel Dr Ste 300 Juneau AK 99801 Ph: (907) 463-4074 | 222 Tongass Dr Sitka AK 99835-9416 Ph: (907) 966-2411 |
NPI Number | 1518157734 |
---|---|
Provider Enumeration Date | 07/25/2007 |
Last Update Date | 05/17/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518157734 | NPI | - | NPPES |
MDG632 | Medicaid | AK | |
MDG627 | Medicaid | AK | |
MDG633 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 70206 (Alaska) | Primary |
Sitka Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Moller Ave, Sitka, AK 99835 Phone: 907-747-3241 Fax: 907-747-0351 | |
Searhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Tongass Dr, Sitka, AK 99835 Phone: 907-966-8676 | |