| Alicia Roberts Medical Center | |
|
7300 Klawock-hollis Hwy Klawock AK 99925-0069 | |
| (907) 755-4800 | |
| Not Available |
| Full Name | Alicia Roberts Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 7300 Klawock-hollis Hwy, Klawock, Alaska |
| Authorized Official Name and Position | Daniel Harris (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9074634000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Roberts Medical Center 3100 Channel Drive Ste 300 Juneau AK 99801 Ph: (907) 463-4074 | Alicia Roberts Medical Center 7300 Klawock-hollis Hwy Klawock AK 99925-0069 Ph: (907) 755-4800 |
| NPI Number | 1215913801 |
|---|---|
| Provider Enumeration Date | 12/16/2005 |
| Last Update Date | 07/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215913801 | NPI | - | NPPES |
| MDG632 | Medicaid | AK | |
| CL2276 | Medicaid | AK | |
| DDG225 | Medicaid | AK | |
| MDG631 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | 70206 (Alaska) | Primary |
Southeast Alaska Regional Health Consortium Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7300 Klawock Hollis Hwy, Klawock, AK 99925 Phone: 907-755-4800 Fax: 907-755-4908 | |
Southeast Alaska Regional Health Constortium Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7300 Klawock Hollis Hwy, Klawock, AK 99925 Phone: 907-755-4925 |