Bartlett Regional Hospital
Organization Active NPI Skilled Nursing Facility · Juneau, AK
NPI 1144901059 · NPPES record last updated Jun 6, 2024
Key facts
- NPI
- 1144901059
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- BARTLETT REGIONAL HOSPITAL
- Practice address
- 2000 Salmon Creek LN
Juneau, AK 99801-7801 - Phone
- (907) 463-8700
- NPI assigned
- Jul 25, 2023
- Organization subpart
- No
Authorized official
- Name
- Joseph Wanner
- Title
- Chief Financial Officer
- Phone
- (907) 796-8402
Owners & managing parties with NPI records 6
-
Alex Malter, M.D.
-
John Franklin Raster, M.D.
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 8
Member of 1
Facilities with the same owner 4
Practitioners 4
-
John Paul Block, M.D.
-
Keegan Marie Jackson, M.D.
-
Alicia C Kiger, DO
-
Alex Malter, M.D.
Affiliated clinicians 8
-
John Paul Block, M.D.
-
Taylor Michael Dunn, M.D.
-
Keegan Marie Jackson, M.D.
-
Alicia C Kiger, DO
-
Alex Malter, M.D.
-
Luke Mather, MD
Medicare Care Compare: Nursing home
- Listed as
- Wildflower Court
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★★★ 5 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- Government - City/county
- Certified
- May 15, 1994
- Medicare certification status
- Active
- Certified beds
- 57 · 46.6 residents per day on average
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Skilled nursing facility certification: CCN 025027
- Legal name
- BARTLETT REGIONAL HOSPITAL
- Doing business as
- WILDFLOWER COURT
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 15, 1994
- Last certification
- May 9, 2025
- Beds
- 57
- Ownership / control type
- City/County
- Organization structure
- Government · Non-profit
- Incorporated
- Jan 1, 1965 in AK
- Enrollment address
- 2000 Salmon Creek LN
Juneau, AK 99801-7801 - Nursing home name
- WILDFLOWER COURT
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Kim McDowell |
Operational/Managerial Control | Jul 10, 2023 | |
| John F Raster |
Managing Control - Governing Body |
Jul 10, 2023 | |
| Max Mertz |
Managing Control - Governing Body |
Jul 10, 2023 | |
| Gail Moorehead |
Operational/Managerial Control | Jul 10, 2023 | |
| Bartlett Regional Hospital |
Operational/Managerial Control | Jul 10, 2023 | |
| Adp of the SNF | Apr 29, 2025 | ||
| City and Borough of Juneau Alaska |
5% Or Greater Direct Ownership Interest | Jul 10, 2023 | 100% |
| Adp of the SNF | Jul 10, 2023 | ||
| Joseph Wanner |
Operational/Managerial Control | Oct 21, 2024 | |
| Kenny Solomon-Gross |
Managing Control - Governing Body |
Jul 10, 2023 | |
| Lisa Petersen |
Managing Control - Governing Body |
Jul 10, 2023 | |
| Deborah Koelsch |
Operational/Managerial Control | Nov 24, 2024 | |
| Adp of the SNF | Nov 24, 2024 | ||
| Deborah Johnston |
Managing Control - Governing Body |
Jul 10, 2023 | |
| Christopher Letterman |
Managing Control - Governing Body |
Dec 1, 2024 | |
| Alex D Malter |
Operational/Managerial Control | Jul 10, 2023 | |
| Managing Control - Governing Body |
Jan 1, 2024 | ||
| Adp of the SNF | Jul 10, 2023 | ||
| Brent Tingey |
Managing Control - Governing Body |
Jan 1, 2025 | |
| Richelle Deering |
Managing Control - Governing Body |
Jan 1, 2024 | |
| Harold (Hal) Geiger |
Managing Control - Governing Body |
Jul 10, 2023 | |
| Tami M Lawson-Churchill |
Operational/Managerial Control | Jul 10, 2023 | |
| Adp of the SNF | Jul 10, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230920003374 | AK | Part a Provider - Skilled Nursing Facility | 2668464850 | Practice locations: Juneau, AK |
National Provider Directory
- Tax ID family
- Bartlett Memorial Hospi
Locations
641 W Willoughby Ave
Ste 204
Juneau, AK 99801
Phone (907) 796-8165
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DHEABD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | |||
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
2000 Salmon Creek LN
Juneau, AK 99801-7801
Mailing address
2000 Salmon Creek LN
Juneau, AK 99801-7801
Other names
- Wildflower Court
NPI Registry JSON
{
"created_epoch": "1690243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717632000000",
"number": "1144901059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 SALMON CREEK LN",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 SALMON CREEK LN",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017801",
"telephone_number": "907-463-8700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARTLETT REGIONAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-25",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A",
"authorized_official_last_name": "WANNER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "907-796-8402"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wildflower Court",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Wildflower Court",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Juneau, AK
- Pamela Ann Baker
- Michael Richard Banyas
- Emily Barnett
- Rachel Barth
- Bartlett Hospital
- Bartlett Regional Hospital
- Bartlett Regional Hospital
- Bartlett Regional Hospital
- Bartlett Regional Hospital
- Bartlett Regional Hospital
All providers in Juneau, AK · Skilled Nursing Facility in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.