NPIMap

Organization Active NPI

Bartlett Regional Hospital

  • General Acute Care Hospital
  • Juneau, AK
National Provider Identifier
1891849261
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 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
Last updated
Nov 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Joseph Wanner
Title
Chief Financial Officer
Phone
(907) 796-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X AK Primary

Addresses

Primary practice location

3260 Hospital Drive
Juneau, AK 99801-7808

Mailing address

3260 Hospital Drive
Juneau, AK 99801-7808
Phone (907) 796-8900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120326000709 AK Part A Provider - Hospital 2668464850 Practice locations: Juneau, AK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891849261. Details of each certification follow.

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
OtherNon-profit
Enrollment address
3260 Hospital Dr
Juneau, AK 99801-7808
Hospital Psychiatric Unit
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Bartlett Regional HospitalCCN 020008 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Bartlett Memorial Hosp9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Kim McDowell Individual Corporate OfficerCoo/Cno May 2, 2021
John F Raster Individual Operational/Managerial ControlBoard Member Jan 1, 2023
Max Mertz Individual Operational/Managerial Control Jun 1, 2022
Gail Moorehead Individual Corporate OfficerChief Quality/Compliance Officer May 28, 2023
City and Borough of Juneau Alaska Organization, Juneau, AK 5% Or Greater Direct Ownership Interest Jan 1, 2012 100%
Joseph Wanner Individual Corporate OfficerChief Executive Officer Nov 14, 2023
Kenny Solomon-Gross Individual Operational/Managerial ControlBoard Member Dec 1, 2020
Lisa Petersen Individual Operational/Managerial ControlBoard Member Jun 22, 2022
Deborah Johnston Individual Operational/Managerial ControlBoard Member Jan 1, 2019
Christopher Letterman Individual Operational/Managerial Control Dec 1, 2025
Angela Davis Individual Corporate OfficerChief Financial Officer Jun 23, 2025
Brent Tingey Individual Operational/Managerial ControlBoard Member Jan 1, 2025
Richelle Deering Individual Operational/Managerial ControlBoard Member Jan 1, 2023
Luke Franz Mather Individual Operational/Managerial ControlChief of Staff Jan 1, 2025
Harold (Hal) Geiger Individual Operational/Managerial ControlBoard Member Jan 1, 2021
Tami M Lawson-Churchill Individual W-2 Managing EmployeePFS Director Oct 12, 2017

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Wildflower CourtJuneau, AK, CCN 025027 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 10, 2023
Apr 29, 2025

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

Affiliated clinicians 179

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

View all 179

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1891849261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 HOSPITAL DRIVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017808",
            "telephone_number": "907-796-8900",
            "fax_number": "907-796-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 HOSPITAL DRIVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017808",
            "telephone_number": "907-796-8900",
            "fax_number": "907-796-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTLETT REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "WANNER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "907-796-8900"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.