Bartlett Regional Hospital
Organization Active NPI General Acute Care Hospital · Juneau, AK
NPI 1891849261 · NPPES record last updated Nov 21, 2023
Key facts
- NPI
- 1891849261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- BARTLETT REGIONAL HOSPITAL
- Practice address
- 3260 Hospital Drive
Juneau, AK 99801-7808 - Phone
- (907) 796-8900
- Fax
- (907) 796-8477
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Joseph Wanner
- Title
- Chief Financial Officer
- Phone
- (907) 796-8900
Owners & managing parties with NPI records 2
-
John Franklin Raster, M.D.
-
Luke Mather, MD
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 8
Related certifications (CCN) 1
Facilities with the same owner 4
Practitioners 13
-
Keegan Marie Jackson, M.D.
-
James McKinney, DO
-
Breeta R Oxnard, MD
-
Emily Rosenfeld, M.D., M.P.H.
-
Jessica Robin Scott, M.D.
-
Kelsey Leigh Campolong, M.D.
-
Lisa M. Evans, MD
Affiliated clinicians 179
-
Brian J Benjamin, MD
-
Christie Bentz, PA-C
-
John Paul Block, M.D.
-
Robert Brenteson, MD
-
Dirk C Bringhurst, M.D.
-
Kenneth N Brown, MD
-
John Patrick Bursell, M.D.
-
Thomas Chang, M.D.
-
Christiaan FS Collier, NP-C
-
Evan Dannhardt, D.O.
-
Jason Beau Deluisa, ANP,CNP, APRN
-
Savannah Dindinger-Hill, PA-S
-
Amber Nicole Dorrough, MSN, FNP-C
Medicare Care Compare: Hospital
- Listed as
- Bartlett Regional Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Hospital certification: CCN 020008
- Legal name
- BARTLETT REGIONAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1968
- Last certification
- Aug 24, 2012
- Beds
- 57
- Ownership / control type
- Local
- Organization structure
- Other · Non-profit
- Enrollment address
- 3260 Hospital Dr
Juneau, AK 99801-7808 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Kim McDowell |
Corporate Officer |
May 2, 2021 | |
| John F Raster |
Operational/Managerial Control |
Jan 1, 2023 | |
| Max Mertz |
Operational/Managerial Control | Jun 1, 2022 | |
| Gail Moorehead |
Corporate Officer |
May 28, 2023 | |
| City and Borough of Juneau Alaska |
5% Or Greater Direct Ownership Interest | Jan 1, 2012 | 100% |
| Joseph Wanner |
Corporate Officer |
Nov 14, 2023 | |
| Kenny Solomon-Gross |
Operational/Managerial Control |
Dec 1, 2020 | |
| Lisa Petersen |
Operational/Managerial Control |
Jun 22, 2022 | |
| Deborah Johnston |
Operational/Managerial Control |
Jan 1, 2019 | |
| Christopher Letterman |
Operational/Managerial Control | Dec 1, 2025 | |
| Angela Davis |
Corporate Officer |
Jun 23, 2025 | |
| Brent Tingey |
Operational/Managerial Control |
Jan 1, 2025 | |
| Richelle Deering |
Operational/Managerial Control |
Jan 1, 2023 | |
| Luke Franz Mather |
Operational/Managerial Control |
Jan 1, 2025 | |
| Harold (Hal) Geiger |
Operational/Managerial Control |
Jan 1, 2021 | |
| Tami M Lawson-Churchill |
W-2 Managing Employee |
Oct 12, 2017 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Wildflower Court |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 10, 2023 Apr 29, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120326000709 | AK | Part a Provider - Hospital | 2668464850 | Practice locations: Juneau, AK |
National Provider Directory
- Tax ID family
- Bartlett Memorial Hospi
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | AK | Yes |
Addresses
Primary practice location
3260 Hospital Drive
Juneau, AK 99801-7808
Mailing address
3260 Hospital Drive
Juneau, AK 99801-7808
Phone (907) 796-8900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1005539 | Medicaid | AK |
Other providers in Juneau, AK
- Bartlett Regional Hospital
- Bartlett Regional Hospital
- Bartlett Regional Hospital
- Bartlett Regional Hospital
- Bartlett Regional Hospital
- Bartlett Regional Hospital
- Lacey Elizabeth Bartlett
- Evelyn Therese Bass
- Krista D Bates
- Quincy Parke Bates
All providers in Juneau, AK · General Acute Care Hospital in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.