Active NPI
Bartlett Regional Hospital
- Medical Specialty Clinic/Center
- Juneau, AK
National Provider Identifier
1477909067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- BARTLETT REGIONAL HOSPITAL
- Practice address
- 3268 Hospital Dr Ste B
Juneau, AK 99801-7800 - Phone
- (907) 796-8720
- Fax
- (907) 796-8728
- NPI assigned
- May 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Wanner
- Title
- Chief Executive Office
- Phone
- (907) 796-8687
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
3268 Hospital Dr Ste B
Juneau, AK 99801-7800
Mailing address
3260 Hospital Dr
Juneau, AK 99801-7808
Phone (907) 796-8720
Other practice location 1
1701 Salmon Creek Ln
Juneau, AK 99801-7868
Phone (907) 796-8720
Other names 1
- Bartlett Medical Oncology Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161004002437 | AK | Part B Supplier - Clinic/Group Practice | 3870881048 |
Receives reassigned benefits from 8 practitioners Practice locations: Juneau, AK |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731542400000",
"number": "1477909067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3260 HOSPITAL DR",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017808",
"telephone_number": "907-796-8720",
"fax_number": "907-796-8728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3268 HOSPITAL DR STE B",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017800",
"telephone_number": "907-796-8720",
"fax_number": "907-796-8728"
}
],
"practiceLocations": [
{
"address_1": "1701 Salmon Creek Ln",
"address_purpose": "LOCATION",
"city": "Juneau",
"state": "AK",
"postal_code": "998017868",
"country_code": "US",
"telephone_number": "907-796-8720",
"fax_number": "907-796-8728",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BARTLETT REGIONAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-12",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A",
"authorized_official_last_name": "WANNER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICE",
"authorized_official_telephone_number": "907-796-8687"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bartlett Medical Oncology Center",
"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 Nov 14, 2024; 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.