| South East Alaska Regional Health Consortium | |
|
13004 Klawock Hollis Highway Klawock AK 99925 | |
| (907) 755-4800 | |
| (907) 755-4806 |
| Full Name | South East Alaska Regional Health Consortium |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13004 Klawock Hollis Highway, Klawock, Alaska |
| Authorized Official Name and Position | Daniel Harris (SR. VP / CFO) |
| Authorized Official Contact | 9074634000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South East Alaska Regional Health Consortium 222 Tongass Dr Sitka AK 99835-9416 Ph: (907) 966-2411 | South East Alaska Regional Health Consortium 13004 Klawock Hollis Highway Klawock AK 99925 Ph: (907) 755-4800 |
| NPI Number | 1699811612 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 04/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699811612 | NPI | - | NPPES |
| 1003868 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 70206 (Alaska) | Primary |