SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM (NPI# 1790345304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790345304 |
Entity Type | Organization |
Organization Name | SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM |
Other Organization Name | SEARHC MOUNTAINSIDE FAMILY CLINIC |
Practice Address |
209 Moller Ave Sitka AK 99835-7142 |
Mailing Address |
3100 Channel Dr Ste 300 Juneau AK 99801-7837 |
Practice Telephone | 9077471722 |
Practice Fax Number | 9077471755 |
Mailing Telephone | 9074634074 |
Mailing Fax Number | 9074631510 |
Enumeration Date | 2019-06-17 |
Last Update Date | 2019-06-25 |
Authorized Official Name | DANIEL HARRIS (VP/CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 9074634000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | STATE OF ALASKA | 70206 | 01 |
Other Name | Type Code |
---|---|
SEARHC Mountainside Family Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831720713 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 202 2nd & Gjoa Street, Petersburg, AK 99833 | 2020-01-30 |
1104457084 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | Eight Street Extension, Hydaburg, AK 99922 | 2020-01-30 |
1841843794 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1200 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
1992358840 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1212 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
1952815706 | Southeast Alaska Regional Health Consortium | Home Health | 814 Halibut Point Rd Ste 202, Sitka, AK 99835-7101 | 2017-11-30 |
1063958452 | Southeast Alaska Regional Health Consortium | Clinic/Center | Cannery Site, Excursion Inlet, AK 99850 | 2017-01-10 |
1194261594 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 225 Front Street, Juneau, AK 99801 | 2017-01-10 |
1962948356 | Southeast Alaska Regional Health Consortium | Clinic/Center | Community Building, Port Protection, AK 99950 | 2017-01-10 |
1659817054 | Southeast Alaska Regional Health Consortium | Clinic/Center | Naukati Community Church, Naukati, AK 99950 | 2017-01-10 |
1932645512 | Southeast Alaska Regional Health Consortium | Clinic/Center | 105 Nw Kodiak Dr, Coffman Cove, AK 99918 | 2017-01-06 |
Street Address |
209 MOLLER AVE |
City | SITKA |
State | AK |
Zip Code | 99835-7142 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770581084 | Sitka Community Hospital | Family Medicine | 209 Moller Ave, Sitka, AK 99835-7142 | 2005-07-11 |
1356901961 | Southeast Alaska Regional Health Consortium | Skilled Nursing Facility | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-06-17 |
1265092878 | Southeast Alaska Regional Health Consortium | Home Health | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-06-17 |
1184281685 | Cheryl Large Lobdell | Physical Therapy Assistant | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-05-21 |
1619341237 | Sara Bergendahl | Physical Therapist | 209 Moller Ave, Sitka, AK 99835-7142 | 2015-11-19 |
1780085381 | Sitka Community Hospital | General Acute Care Hospital | 209 Moller Ave, Sitka, AK 99835-7142 | 2014-09-15 |
1558773978 | Gregory Siera | Registered Nurse | 209 Moller Ave, Sitka, AK 99835-7142 | 2014-05-21 |
1871892786 | Donald Russell Johnson Md Phd | Dermatology | 209 Moller Ave, Sitka, AK 99835-7142 | 2011-03-17 |
1033316229 | George A Burnstein Jr. | Registered Nurse | 209 Moller Ave, Sitka, AK 99835-7142 | 2007-06-29 |
1972729762 | Pacific Northwest Radiology LLC | Radiology | 209 Moller Ave, Sitka, AK 99835-7142 | 2007-04-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487268116 | Rodney Ray Racaza | Pharmacist | 222 Tongass Drive Pharmacy, Sitka, AK 99835 | 2020-09-01 |
1003462052 | Tiffany Marie Johnson | Nurse's Aide | 1209 Seward Ave., Sitka, AK 99835 | 2019-08-15 |
1841843794 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1200 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
1992358840 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1212 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
1154973857 | Jeffrey Mossige | Counselor | Searhc - Raven's Way 222 Tongass Dr., Sitka, AK 99835 | 2019-07-12 |
1689194599 | Heather Chandler | Social Worker | 113 Metlakatla Steet, Sitka, AK 99835 | 2017-06-21 |
1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
1275967291 | Debra R Wilson | Registered Nurse | 222 Tongass Airport Road, Sitka, AK 99835 | 2013-08-27 |
1700167830 | Allison Richmond Allen | Physical Therapy Assistant | 12 Lifesaver Drive, Sitka, AK 99835 | 2011-09-02 |
1023336617 | Hollie E Mulanax | Community Health Worker | 408 Lake Street #2, Sitka, AK 99835 | 2010-05-07 |
Find all providers in zip 99835 |
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 |
---|---|---|---|---|
1770095713 | Southeast Alaska Regional Health Consortium | Clinic/Center | 814 Halibut Point Rd, Sitka, AK 99835-7101 | 2017-10-31 |
1801257472 | Searhc | Clinic/Center | 222 Tongass Dr, Sitka, AK 99835-9416 | 2016-03-10 |
1952631442 | Southeast Alaska Regional Health Consortium | Clinic/Center | 222 Tongass Dr, Sitka, AK 99835-9416 | 2010-01-05 |
1477721280 | South East Alaska Regional Health Consortium | Clinic/Center | 222 Tongass Dr, Sitka, AK 99835-9416 | 2008-02-14 |
1437283413 | Valerie L. Bright | Clinic/Center | 222 Tongass Dr, Sitka, AK 99835-9416 | 2007-03-14 |
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.