| Southeast Alaska Regional Health Consortium | |
|
202 2nd & Gjoa Street Petersburg AK 99833 | |
| (907) 772-4963 | |
| (907) 772-4964 |
| Full Name | Southeast Alaska Regional Health Consortium |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 202 2nd & Gjoa Street, Petersburg, Alaska |
| Authorized Official Name and Position | Daniel Harris (VP/CFO) |
| Authorized Official Contact | 9074634000 |
| 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 202 2nd & Gjoa Street Petersburg AK 99833 Ph: (907) 772-4963 |
| NPI Number | 1831720713 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 01/30/2020 |
| Certification Date | 01/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831720713 | NPI | - | NPPES |
| 70206 | Other | AK | STATE OF ALASKA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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