NPIMap

Organization Active NPI

South East Alaska Regional Health Consortium

  • Clinic/Center
  • Juneau, AK
National Provider Identifier
1669709010
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
70206 Issued in AK
Legal business name
SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
Practice address
3245 Hospital Dr.
Juneau, AK 99801-7809
Phone
(907) 463-4040
Fax
(907) 463-4012
NPI assigned
Nov 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Barbara Searls
Title
Cheif Financial Officer
Phone
(907) 463-4061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 70206 AK Primary

Addresses

Primary practice location

3245 Hospital Dr.
Juneau, AK 99801-7809

Mailing address

3245 Hospital Dr
Juneau, AK 99801-7809
Phone (907) 463-4040

Other identifiers 1

IdentifierTypeStateIssuer
MDG628MedicaidAK

Other names 1

  • Jueanu Medical Clinic Doing business as

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 24

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

View all 24

Practitioners & affiliated clinicians

Practitioners 1

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": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1669709010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HOSPITAL DR",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017809",
            "telephone_number": "907-463-4040",
            "fax_number": "907-463-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 HOSPITAL DR.",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017809",
            "telephone_number": "907-463-4040",
            "fax_number": "907-463-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "SEARLS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "907-463-4061"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AK",
            "license": "70206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG628",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jueanu Medical Clinic",
            "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 Aug 28, 2013; 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.