Organization Active NPI

Southeast Alaska Regional Health Consortium

Doing business as SEARHC Wrangell Medical Center

  • Critical Access Hospital
  • Wrangell, AK
National Provider Identifier
1700364627
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
RPHC-003 Issued in AK
Legal business name
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Doing business as
SEARHC Wrangell Medical Center
Practice address
232 Wood Street
Wrangell, AK 99929
Phone
(907) 874-7000
Fax
(907) 874-7122
NPI assigned
Aug 2, 2018
Last updated
Mar 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Daniel Harris
Title
VP/Chief Financial Officer
Phone
(907) 463-4000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 70206 AK
Ambulatory Surgical Clinic/Center 261QA1903X
General Acute Care Hospital 282N00000X 70206 AK
Critical Access Hospital 282NC0060X RPHC-003 AK Primary

Addresses

Primary practice location

232 Wood Street
Wrangell, AK 99929

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
1689458MedicaidAK
70206OtherAKSTATE OF ALASKA

Other names 1

  • SEARHC Wrangell Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181030000589 AK Part A Provider - Critical Access Hospital 1456265362 Receives reassigned benefits from 1 practitioner
Practice locations: Wrangell, AK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700364627. Details of each certification follow.

Hospital certification: CCN 021305

Legal name
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2002
Last certification
Sep 29, 2021
Beds
8
Ownership / control type
Tribal
Organization structure
CorporationNon-profit
Incorporated
Apr 22, 1975 in AK
Enrollment address
232 Wood Street
Wrangell, AK 99929
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Searhc Wrangell Medical Center & LTCCCN 021305 · All quality measures
Type
Critical Access Hospitals
Ownership
Tribal
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Megan Carter Individual W-2 Managing EmployeeManager, Provider Enrollment Oct 31, 2016
Operational/Managerial ControlManager, Provider Enrollment Oct 31, 2016
June Durgan Individual Corporate Director Sep 1, 2010
Kimberly Strong Individual Corporate Officer Sep 1, 2010
Corporate Director Sep 1, 2010
Charles Clement Individual W-2 Managing EmployeeChief Executive Officer Feb 6, 2012
Operational/Managerial ControlChief Executive Officer Feb 6, 2012
Southeast Alaska Regional Health Consortium Organization, Juneau, AK 5% Or Greater Direct Ownership Interest Apr 22, 1975 100%
Janice Hill Individual Corporate Director Nov 19, 2021
Barbara Cadiente Nelson Individual Corporate Director Jan 23, 2023
Harriet Silva Individual Corporate Officer Dec 1, 2004
Corporate Director Dec 1, 2004
Ryan Matej Individual W-2 Managing EmployeeSr. Director of Finance Oct 16, 2017
Operational/Managerial ControlSr. Director of Finance Oct 16, 2017
Lily Hughes Individual Corporate Director Jan 19, 2023
Marvell Nix Individual Corporate Director May 9, 2022
Lavina Brock Individual Corporate Officer Oct 1, 2004
Corporate Director Oct 1, 2004
Patricia Cottle Individual Corporate Director May 1, 2009
Daniel T Harris Individual W-2 Managing EmployeeChief Financial Officer May 15, 2017
Operational/Managerial ControlChief Executive Officer May 15, 2017
Dorothy Smith Individual Corporate Director Jul 1, 2019
Lawrence Widmark Individual Corporate Director Jul 1, 2017
Tiffany Lapierre Individual W-2 Managing Employee Mar 7, 2021
Judean Gordon Individual Corporate Director Mar 1, 2016
Emily Carroll Individual W-2 Managing EmployeeSr. Provider Enrollment Speciali Sep 16, 2019
Operational/Managerial ControlSr. Provider Enrollment Speciali Sep 16, 2019
Annette Bennett Individual Corporate Director Jan 14, 2019

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
SearhcSitka, AK, CCN 021314 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 22, 1975
SearhcSitka, AK, CCN 02Z314 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 22, 1975
Southeast Alaska Regional Health ConsortiumWrangell, AK, CCN 02Z305 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2018
Southeast Alaska Regional Health ConsortiumWrangell, AK, CCN 025015 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2018
Searhc Sitka Long Term CareSitka, AK, CCN 025032 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 22, 1975

Owned or controlled facilities with NPI records 39

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 39

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1700364627",
    "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": "232 WOOD STREET",
            "city": "WRANGELL",
            "state": "AK",
            "postal_code": "99929",
            "telephone_number": "907-874-7000",
            "fax_number": "907-874-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "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"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AK",
            "license": "70206",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AK",
            "license": "70206",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AK",
            "license": "RPHC-003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689458",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALASKA",
            "identifier": "70206",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEARHC Wrangell Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SEARHC Wrangell Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wrangell, AK

Sources for this page

Verify at the official NPI Registry.