NPIMap

Organization Active NPI

South East Alaska Regional Health Consortium

Doing business as Alicia Roberts Medical Center

  • Clinic/Center
  • Klawock, AK
National Provider Identifier
1760719116
Registry record updated Jun 11, 2012
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
Doing business as
Alicia Roberts Medical Center
Practice address
13004 Klawock Hollis Hwy
Klawock, AK 99925
Phone
(907) 755-4800
Fax
(907) 755-4806
NPI assigned
Nov 5, 2009
Last updated
Jun 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

13004 Klawock Hollis Hwy
Klawock, AK 99925

Mailing address

13004 Klawock Hollis Hwy
Klawock, AK 99925
Phone (907) 755-4800

Other identifiers 1

IdentifierTypeStateIssuer
MDG631MedicaidAK

Other names 1

  • Alicia Roberts Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SE Alaska Regional HLTH88 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, 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": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1760719116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13004 KLAWOCK HOLLIS HWY",
            "city": "KLAWOCK",
            "state": "AK",
            "postal_code": "99925",
            "telephone_number": "907-755-4800",
            "fax_number": "907-755-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13004 KLAWOCK HOLLIS HWY",
            "city": "KLAWOCK",
            "state": "AK",
            "postal_code": "99925",
            "telephone_number": "907-755-4800",
            "fax_number": "907-755-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "SEARLS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CHIEF 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": "MDG631",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alicia Roberts Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Klawock, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.