NPIMap

Organization Active NPI

South East Alaska Regional Health Consortium

Doing business as Short term housing

  • Lodging Provider
  • Sitka, AK
National Provider Identifier
1710126008
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
License
70206 Issued in AK
Legal business name
SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
Doing business as
Short term housing
Practice address
222 Tongass Dr BLDG 121
Sitka, AK 99835-9416
Phone
(907) 966-2411
Fax
(907) 966-8606
NPI assigned
Feb 11, 2009
Last updated
Dec 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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
Lodging Provider 177F00000X 70206 AK Primary

Addresses

Primary practice location

222 Tongass Dr BLDG 121
Sitka, AK 99835-9416

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1659301MedicaidAK

Other names 1

  • Short term housing Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maureen P Longworth MD88 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

222 Tongass Dr
Bldg 121
Sitka, AK 99835

Practitioners & affiliated clinicians

Practitioners 1

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": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1710126008",
    "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": "222 TONGASS DR BLDG 121",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998359416",
            "telephone_number": "907-966-2411",
            "fax_number": "907-966-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "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": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "AK",
            "license": "70206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659301",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Short term housing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Short term housing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sitka, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.