| South East Alaska Regional Health Consortium | |
|
100 Clinic Way Kasaan AK 99950-0340 | |
| (907) 542-2222 | |
| (907) 542-2225 |
| Full Name | South East Alaska Regional Health Consortium |
|---|---|
| Speciality | Clinic/center |
| Location | 100 Clinic Way, Kasaan, 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 |
|---|---|
| South East Alaska Regional Health Consortium 3100 Channel Dr Ste 300 Juneau AK 99801-7837 Ph: (907) 463-4074 | South East Alaska Regional Health Consortium 100 Clinic Way Kasaan AK 99950-0340 Ph: (907) 542-2222 |
| NPI Number | 1962616821 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 05/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962616821 | NPI | - | NPPES |
| MDG632 | Medicaid | AK | |
| MDG631 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 70206 (Alaska) | Primary |