South East Alaska Medical Suppliers, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

216626 Issued in AK

Legal business name

SOUTH EAST ALASKA MEDICAL SUPPLIERS, INC.

Practice address

5636 Glacier Hwy Ste 200
Juneau, AK 99801-9508

Phone

(907) 586-6880

Fax

(907) 586-6884

NPI assigned

Nov 13, 2006

Last updated

Nov 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wilbur Maragana Sangster

Title

President

Phone

(907) 586-6880

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414800000000",
    "number": "1881765329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5636 GLACIER HWY STE 200",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019508",
            "telephone_number": "907-586-6880",
            "fax_number": "907-586-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5636 GLACIER HWY STE 200",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019508",
            "telephone_number": "907-586-6880",
            "fax_number": "907-586-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EAST ALASKA MEDICAL SUPPLIERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2014-11-01",
        "status": "A",
        "authorized_official_last_name": "SANGSTER",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_middle_name": "MARAGANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-586-6880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AK",
            "license": "216626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MS9255",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elliott Sofhauser
• Solorad LLC
• Bruno N Soria Rojo
• Marjan Souayvixay, RDH, DDS
• South East Alaska Care Coordination
• South East Alaska Regional Health Consortium (Juneau Front Street Clinic)
• South East Alaska Regional Health Consortium (SEARHC Front Street Clinic)
• South East Alaska Regional Health Consortium
• South East Alaska Regional Health Consortium (Jueanu Medical Clinic)
• South East Alaska Regional Health Consortium (SEARHC Juneau Dental Clinic)

• Durable Medical Equipment & Medical Supplies in Juneau, AK
• Providers in Juneau, AK by specialty
• Durable Medical Equipment & Medical Supplies in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2014; 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.