NPIMap

Organization Active NPI

Southeast Alaska Regional Health Consortium

  • Community/Behavioral Health Agency
  • Haines, AK
National Provider Identifier
1679119820
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Practice address
230 Dalton Street
Ste 135
Haines, AK 99827
Phone
(907) 766-6313
NPI assigned
Nov 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Authorized official

Name
Daniel Harris
Title
VP/Cfo
Phone
(907) 463-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

230 Dalton Street
Ste 135
Haines, AK 99827

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
1704797MedicaidAK
70206OtherAKSTATE OF ALASKA

Other names 2

  • SEARHC Haines Mountainside Behavioral Health Doing business as
  • SEARHC Lynn Canal Behavioral Health 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

Locations

16 Main St
Haines, AK 99827
Phone (907) 766-6313

Practitioners & affiliated clinicians

Practitioners 2

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": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1679119820",
    "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": "230 DALTON STREET",
            "address_2": "STE 135",
            "city": "HAINES",
            "state": "AK",
            "postal_code": "99827",
            "telephone_number": "907-766-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "907-463-4000"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1704797",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALASKA",
            "identifier": "70206",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEARHC Haines Mountainside Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SEARHC Haines Mountainside Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SEARHC Lynn Canal Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haines, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.