NPIMap

Organization Active NPI

Southeast Alaska Regional Health Consortium

Doing business as Searhc Wrangell Dental Clinic

  • Dental Clinic/Center
  • Wrangell, AK
National Provider Identifier
1205372885
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Doing business as
Searhc Wrangell Dental Clinic
Practice address
215 Front St
Wrangell, AK 99929
Phone
(907) 874-3731
Fax
(907) 874-3531
NPI assigned
Jan 6, 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
Dental Clinic/Center 261QD0000X Primary
General Practice Dentistry 1223G0001X

Addresses

Primary practice location

215 Front St
Wrangell, AK 99929

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
70206OtherAKBUSINESS LICENSE
1663271MedicaidAK

Other names 2

  • SEARHC WRANGELL DENTAL CLINIC Doing business as
  • SEARHC AICS Dental Other name

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1205372885",
    "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": "215 FRONT ST",
            "city": "WRANGELL",
            "state": "AK",
            "postal_code": "99929",
            "telephone_number": "907-874-3731",
            "fax_number": "907-874-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "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": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "70206",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1663271",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEARHC WRANGELL DENTAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SEARHC AICS Dental",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SEARHC AICS Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wrangell, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.