| Southeast Alaska Regional Health Consortium | |
|
37 Chilkat Avenue Klukwan AK 99827 | |
| (907) 767-5699 | |
| (907) 767-5599 |
| Full Name | Southeast Alaska Regional Health Consortium |
|---|---|
| Speciality | Clinic/center |
| Location | 37 Chilkat Avenue, Klukwan, Alaska |
| Authorized Official Name and Position | Daniel Neumeister (CHIEF OPERATING OFFICER) |
| 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 37 Chilkat Avenue Klukwan AK 99827 Ph: (907) 767-5699 |
| NPI Number | 1033323852 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 05/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033323852 | NPI | - | NPPES |
| CL5627 | Medicaid | AK | |
| MDG632 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 70602 (Alaska) | Primary |
South East Alaska Regional Health Consortium Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 Chilkat Ave., Klukwan, AK 99827 Phone: 907-767-5699 Fax: 907-767-5599 |