SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM (NPI# 1215983945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215983945 |
| Entity Type | Organization |
| Organization Name | SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM |
| Other Organization Name | ANGOON HEALTH CENTER |
| Practice Address |
725 Relay Road Angoon AK 99820 |
| Mailing Address |
3100 Channel Dr Ste 300 Juneau AK 99801 |
| Practice Telephone | 9077884600 |
| Mailing Telephone | 9074634074 |
| Mailing Fax Number | 9074631510 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2017-05-25 |
| Authorized Official Name | MR. DANIEL NEUMEISTER (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9074634000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 70206 | AK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CL2277 | 05 | |
| AK | MDG632 | 05 |
| Other Name | Type Code |
|---|---|
| Angoon Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306173752 | South East Alaska Regional Health Consortium | Clinic/Center | 37 Chilkat Ave., Klukwan, AK 99827 | 2009-11-05 |
| 1760719116 | South East Alaska Regional Health Consortium | Clinic/Center | 13004 Klawock Hollis Hwy, Klawock, AK 99925 | 2009-11-05 |
| 1710126008 | South East Alaska Regional Health Consortium | Lodging | 222 Tongass Dr Bldg 121, Sitka, AK 99835-9416 | 2009-02-11 |
| 1447438502 | South East Alaska Regional Health Consortium | Clinic/Center | 202 Gjoa St, Petersburg, AK 99833 | 2008-01-31 |
| 1376758037 | South East Alaska Regional Health Consortium | Clinic/Center | 120 Freeman Dr, Thorne Bay, AK 99919-0423 | 2007-05-14 |
| 1073728168 | South East Alaska Regional Health Consortium | Clinic/Center | 8 Extension, Hydaburg, AK 99922 | 2007-05-11 |
| 1962616821 | South East Alaska Regional Health Consortium | Clinic/Center | 100 Clinic Way, Kasaan, AK 99950-0340 | 2007-05-10 |
| 1659585479 | South East Alaska Regional Health Consortium | Clinic/Center | 101 Salmon Way, Pelican, AK 99832 | 2007-05-10 |
| 1932312485 | South East Alaska Regional Health Consortium | Nursing Facility/Intermediate Care Facility | 2000 Salmon Creek Lane, 2000 Salmon Creek Lane, Juneau, AK 99801-7801 | 2007-05-08 |
| 1114973849 | South East Alaska Regional Health Consortium | Clinic/Center | 105 Totem Way, Kake, AK 99830 | 2006-05-25 |
| Street Address |
725 RELAY ROAD |
| City | ANGOON |
| State | AK |
| Zip Code | 99820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619508504 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 725 Relay Road, Angoon, AK 99820 | 2020-01-29 |
| 1922511385 | Christen Marrielle King | Community Health Worker | 725 Relay Road, Angoon, AK 99820 | 2017-11-08 |
| 1275918351 | Dawn Wood | Community Health Worker | 725 Relay Road, Angoon, AK 99820 | 2015-07-30 |
| 1861813149 | Daniel Johnson Jr. | Counselor | 725 Relay Road, Angoon, AK 99820-0290 | 2014-01-03 |
| 1902247059 | Tina Renee James-gamble | Community Health Worker | 725 Relay Road, Angoon, AK 99820 | 2013-07-17 |
| 1043582752 | Randall Jay Gamble | Community Health Worker | 725 Relay Road, Angoon, AK 99820-0027 | 2012-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801146022 | Lenora Walker | Counselor | 725 Relay Rd., Angoon, AK 99820 | 2012-09-14 |
| 1871011247 | Sheila Marie Mitchell | Counselor | 725 Relay Rd, Angoon, AK 99820 | 2017-09-06 |
| 1942328083 | Catholic Community Service | Case Management | 800 Xootz Rd, Angoon, AK 99820-0107 | 2007-03-27 |
| 1326418567 | Marcie Kookesh | Counselor | 725 Relay Rd, Angoon, AK 99820-0725 | 2015-09-30 |
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596026 | Pivotal Care Partnership | Clinic/Center | 2925 Debarr Rd Ste 199, Anchorage, AK 99508-2959 | 2020-10-19 |
| 1942807862 | Turning Leaf Literacy Center, LLC | Clinic/Center | 690 E Susitna Ave, Wasilla, AK 99654-8124 | 2020-10-04 |
| 1982237921 | Revive Aesthetics & Spa Wasilla, LLC | Clinic/Center | 1175 N Leatherleaf Loop Ste F, Wasilla, AK 99654-6527 | 2020-02-18 |
| 1821560160 | Ideal Option, Pllc | Clinic/Center | 3159 Tongass Ave, Ketchikan, AK 99901-5745 | 2018-12-27 |
| 1902389943 | Ideal Option, Pllc | Clinic/Center | 8585 Old Dairy Rd Ste 200, Juneau, AK 99801-8094 | 2018-09-14 |
| 1063911287 | Ideal Option, Pllc | Clinic/Center | 416 Frontage Rd # 400, Kenai, AK 99611-7770 | 2018-02-02 |
| 1255857876 | Vera Whole Health | Clinic/Center | 582 E 36th Ave Ste 203, Anchorage, AK 99503-4138 | 2017-08-15 |
| 1871020123 | Coburn Health Consulting LLC | Clinic/Center | 4401 Business Park Blvd # N-26, Anchorage, AK 99503-7172 | 2017-05-17 |
| 1063958452 | Southeast Alaska Regional Health Consortium | Clinic/Center | Cannery Site, Excursion Inlet, AK 99850 | 2017-01-10 |
| 1962948356 | Southeast Alaska Regional Health Consortium | Clinic/Center | Community Building, Port Protection, AK 99950 | 2017-01-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.