NPIMap

Organization Active NPI

Southeast Alaska Regional Health Constortium

  • Physical Therapy Clinic/Center
  • Juneau, AK
National Provider Identifier
1154050490
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SOUTHEAST ALASKA REGIONAL HEALTH CONSTORTIUM
Practice address
3051 Vintage Blvd
Ste 301
Juneau, AK 99801
Phone
(907) 463-6682
Fax
(907) 463-6648
NPI assigned
Jun 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3051 Vintage Blvd
Ste 301
Juneau, AK 99801

Mailing address

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

Other practice location 1

1720 Crest St
Juneau, AK 99801-8058
Phone (907) 463-6682

Other identifiers 2

IdentifierTypeStateIssuer
70206OtherAKBUSINESS LICENSE
1737185MedicaidAK

Other names 1

  • SEARHC PHYSICAL REHABILITATION CLINIC-JUNEAU Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments

Enrollment records 2

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…
O20150921000532 AK Part A Provider - Critical Access Hospital 1456265362 Receives reassigned benefits from 2 practitioners
35 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Hospital certification: CCN 021314

Legal name
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Doing business as
SEARHC
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 5, 2015
Last certification
Dec 5, 2024
Beds
25
Ownership / control type
Tribal
Organization structure
CorporationNon-profit
Incorporated
Apr 22, 1975 in AK
Enrollment address
222 Tongass Dr
Sitka, AK 99835-9416
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 49

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

View all 49

Care Compare: Hospital

Medicare Care Compare
Listed as
Southeast Alaska Regional Health ConsortiumCCN 021314
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Tribal
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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 23

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

View all 23

Locations

3051 Vintage Blvd
Ste 301
Juneau, AK 99801
Phone (907) 463-6648

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Megan Carter Individual W-2 Managing EmployeeProvider Enrollment Coordinator Oct 31, 2016
Operational/Managerial ControlProvider Enrollment Coordinator Oct 31, 2016
June Durgan Individual Corporate Director Sep 1, 2010
Kimberly Strong Individual Corporate Officer Sep 1, 2010
Corporate Director Sep 1, 2010
Charles Clement Individual Corporate OfficerChief Executive Officer Feb 6, 2012
W-2 Managing EmployeeChief Executive Officer Feb 6, 2012
Operational/Managerial ControlChief Executive Officer Feb 6, 2012
Southeast Alaska Regional Health Consortium Organization, Juneau, AK Created for acquisition 5% Or Greater Direct Ownership Interest Apr 22, 1975 100%
Janice Hill Individual Corporate Director Nov 19, 2021
Barbara Cadiente Nelson Individual Corporate Director Jan 23, 2023
Harriet Silva Individual Corporate Officer Dec 1, 2004
Corporate Director Dec 1, 2004
Ryan Matej Individual W-2 Managing EmployeeSr. Director of Finance Oct 16, 2017
Operational/Managerial ControlSr. Director of Finance Oct 16, 2017
Lily Hughes Individual Corporate Director Jan 19, 2023
Marvell Nix Individual Corporate Director May 9, 2022
Lavina Brock Individual Corporate Officer Oct 1, 2004
Corporate Director Oct 1, 2004
Patricia Cottle Individual Corporate Director May 1, 2009
Daniel T Harris Individual Corporate OfficerChief Financial Officer May 15, 2017
W-2 Managing EmployeeChief Financial Officer May 15, 2017
Operational/Managerial ControlChief Financial Officer May 15, 2017
Dorothy Smith Individual Corporate Director Jul 1, 2019
Lawrence Widmark Individual Corporate Director Jul 1, 2017
Tiffany Lapierre Individual W-2 Managing Employee Jun 21, 2021 100%
Operational/Managerial Control Jun 21, 2021
Judean Gordon Individual Corporate Director Mar 1, 2016
Emily Carroll Individual W-2 Managing EmployeeSr. Provider Enrollment Specialist Sep 16, 2019
Operational/Managerial ControlSr. Provider Enrollment Specialist Sep 16, 2019
Annette Bennett Individual Corporate Director Jan 14, 2019

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 342

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 342

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1154050490",
    "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",
            "fax_number": "907-463-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 VINTAGE BLVD",
            "address_2": "STE 301",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "907-463-6682",
            "fax_number": "907-463-6648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 Crest St",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998018058",
            "country_code": "US",
            "telephone_number": "907-463-6682",
            "fax_number": "907-463-6648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHEAST ALASKA REGIONAL HEALTH CONSTORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SR. VP CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "907-463-4000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "70206",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1737185",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEARHC PHYSICAL REHABILITATION CLINIC-JUNEAU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.