NPIMap

Organization Active NPI

Southeast Alaska Regional Health Consortium

Doing business as Searhc Excursion Inlet

  • Clinic/Center
  • Excursion Inlet, AK
National Provider Identifier
1063958452
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Doing business as
Searhc Excursion Inlet
Practice address
Cannery Site
Excursion Inlet, AK 99850
Phone
(907) 697-3008
NPI assigned
Jan 10, 2017
Last updated
Dec 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Mr. Daniel Harris
Title
VP/Chief Financial Officer
Phone
(907) 463-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Federally Qualified Health Center (FQHC) 261QF0400X NU

Addresses

Primary practice location

Cannery Site
Excursion Inlet, AK 99850

Mailing address

3100 Channel Drive Ste 300
Attn: Provider Enrollment
Juneau, AK 99801
Phone (907) 463-4000

Other identifiers 1

IdentifierTypeStateIssuer
70206OtherAKBUSINESS LICENSE

Other names 2

  • SEARHC EXCURSION INLET Doing business as
  • SEARHC AICS Excursion Inlet Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031114000631 TX Part B Supplier - Clinic/Group Practice 1456265362 Receives reassigned benefits from 725 practitioners
48 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kake, AK; Juneau, AK; Kasaan, AK; Ketchikan, AK; Klawock, AK; Klukwan, AK; Naukati, AK; Pelican, AK…

Other NPIs on the same Medicare enrollment 48

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 48

National Provider Directory

National Provider Directory
Tax ID family
Maureen P Longworth MD88 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1063958452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CHANNEL DRIVE STE 300",
            "address_2": "ATTN: PROVIDER ENROLLMENT",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "907-463-4000",
            "fax_number": "907-463-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CANNERY SITE",
            "city": "EXCURSION INLET",
            "state": "AK",
            "postal_code": "99850",
            "telephone_number": "907-697-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VP/CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "907-463-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "70206",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEARHC EXCURSION INLET",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SEARHC AICS Excursion Inlet",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Excursion Inlet, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.