NPIMap

Organization Active NPI

Southeast Alaska Regional Health Consortium

  • Community/Behavioral Health Agency
  • Juneau, AK
National Provider Identifier
1013618552
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Practice address
10815 Black Bear Rd
Juneau, AK 99801-8783
Phone
(907) 789-7610
NPI assigned
Mar 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Harris
Title
Sevp/Cfo
Phone
(907) 463-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

10815 Black Bear Rd
Juneau, AK 99801-8783

Mailing address

3100 Channel Dr Ste 300
Juneau, AK 99801-7837
Phone (907) 463-4074

Other identifiers 1

IdentifierTypeStateIssuer
70206OtherAKSTATE OF ALASKA

Other names 1

  • SEARHC RAVEN'S WAY-BLACK BEAR Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mark Peterson88 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1013618552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CHANNEL DR STE 300",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017837",
            "telephone_number": "907-463-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 BLACK BEAR RD",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018783",
            "telephone_number": "907-789-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SEVP/CFO",
        "authorized_official_telephone_number": "907-463-4000"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALASKA",
            "identifier": "70206",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEARHC RAVEN'S WAY-BLACK BEAR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.