| Southeast Alaska Regional Health Consortium | |
|
100 Fram Street Petersburg AK 99833 | |
| (907) 772-3332 | |
| (800) 858-8850 |
| Full Name | Southeast Alaska Regional Health Consortium |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Fram Street, Petersburg, Alaska |
| Authorized Official Name and Position | Daniel Harris (SR. VP/ CFO) |
| Authorized Official Contact | 9074334000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Alaska Regional Health Consortium 3100 Channel Dr Ste 300 Juneau AK 99801-7837 Ph: (907) 463-4074 | Southeast Alaska Regional Health Consortium 100 Fram Street Petersburg AK 99833 Ph: (907) 772-3332 |
| NPI Number | 1174108880 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 03/15/2021 |
| Certification Date | 03/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174108880 | NPI | - | NPPES |
| 70206 | Other | AK | STATE OF ALASKA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Mitkof Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Haugen Drive, #103, Petersburg, AK 99833 Phone: 907-650-0222 Fax: 907-772-3710 | |
Petersburg Mental Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 North Nordic Drive, Petersburg, AK 99833 Phone: 907-772-3332 Fax: 888-858-8850 | |
Southeast Alaska Regional Health Consortium Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 2nd & Gjoa Street, Petersburg, AK 99833 Phone: 907-772-4963 Fax: 907-772-4964 | |
Petersburg Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 North Nordic Drive, Petersburg, AK 99833 Phone: 907-772-3332 |