NPIMap

Organization Active NPI

Bartlett Regional Hospital

Doing business as Bartlett Medical Oncology Center

  • Medical Specialty Clinic/Center
  • Juneau, AK
National Provider Identifier
1477909067
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
BARTLETT REGIONAL HOSPITAL
Doing business as
Bartlett Medical Oncology Center
Practice address
3268 Hospital Dr Ste B
Juneau, AK 99801-7800
Phone
(907) 796-8720
Fax
(907) 796-8728
NPI assigned
May 12, 2016
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161004002437 AK Part B Supplier - Clinic/Group Practice 3870881048 Receives reassigned benefits from 8 practitioners
Practice locations: Juneau, AK

National Provider Directory

National Provider Directory

Locations

1701 Salmon Creek Ln
Juneau, AK 99801
Phone (907) 586-5762

Practitioners & affiliated clinicians

Practitioners 8

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.

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.

Verify at the official NPI Registry.