SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM (NPI# 1922544329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922544329 |
Entity Type | Organization |
Organization Name | SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM |
Other Organization Name | SEARHC AICS MEDICAL CLINIC |
Practice Address |
232 Wood Street Wrangell AK 99929 |
Mailing Address |
3100 Channel Drive Ste 300 Attn: Provider Enrollment Juneau AK 99801 |
Practice Telephone | 9078744700 |
Practice Fax Number | 9078744719 |
Mailing Telephone | 9074634000 |
Mailing Fax Number | 9074631510 |
Enumeration Date | 2017-01-10 |
Last Update Date | 2017-05-17 |
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 |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | BUSINESS LICENSE | 70206 | 01 |
Other Name | Type Code |
---|---|
SEARHC AICS Medical Clinic | Other Name - Individual/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 |
232 WOOD STREET |
City | WRANGELL |
State | AK |
Zip Code | 99929 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053418921 | Martha Jane Moore | Family Medicine | 232 Wood Street, Wrangell, AK 99929 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073009379 | Eli Michael | Social Worker | 110 Lynch St, Wrangell, AK 99929 | 2018-07-10 |
1538688619 | Dash Enterprises | Assisted Living Facility | 1104 Peninsula Street, Wrangell, AK 99929 | 2017-09-11 |
1477003978 | Alaska Island Community Services | Clinic/Center | 110 Lynch Street, Wrangell, AK 99929 | 2016-10-07 |
1679909253 | Kjerstena Elizabeth Yocum | Dental Hygienist | 215 Front Street, Wrangell, AK 99929 | 2013-09-16 |
1699109975 | Kristen Leigh Debord | Speech-Language Pathologist | 310 Bennett St., Wrangell, AK 99929 | 2013-08-22 |
1144558685 | Cheryl E Haynes | Pharmacist | 322 Bennett St, Island, Only Addresses Ponumbers-pob 1421, Wrangell, AK 99929 | 2009-11-20 |
1992975122 | Pacific Northwest Radiology LLC | Radiology | 310 Bennett St, Wrangell, AK 99929 | 2008-03-04 |
1689729980 | Alaska Island Community Services | Clinic/Center | 102 Harpoon Way, Coffman Cove, AK 99929 | 2007-01-24 |
1659433738 | Drs Moorhead& Ross Dds | Dentist | 215 Front St, Wrangell, AK 99929 | 2006-12-14 |
1588764534 | Stikine Drug LLC | Pharmacy | 202 Front St, Wrangell, AK 99929 | 2006-09-22 |
Find all providers in zip 99929 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477003978 | Alaska Island Community Services | Clinic/Center | 110 Lynch Street, Wrangell, AK 99929 | 2016-10-07 |
1568912137 | Alaska Island Community Services | Clinic/Center | 110 Lynch Street, Wrangell, AK 99929 | 2016-10-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821511064 | Cross Road Health Ministries, Inc. | Clinic/Center | 187 Glenn Highway, Glennallen, AK 99588-0589 | 2017-07-19 |
1568902583 | Sunshine Community Health Center, Inc | Clinic/Center | 42728 S Parks Highway, Talkeetna, AK 99676 | 2017-02-24 |
1467991455 | Sunshine Community Health Center, Inc | Clinic/Center | 13930 E Timberwolf Loop, Talkeetna, AK 99676 | 2017-02-23 |
1679718019 | Camai Community Health Center, Inc. | Clinic/Center | # 2 School Rd, Naknek, AK 99633-0211 | 2008-12-15 |
1487818639 | City of Galena | Clinic/Center | 74 Ruby Road, Ruby, AK 99768-0074 | 2008-07-17 |
1568626760 | City of Galena | Clinic/Center | 30 Koyukuk Lane, Koyukuk, AK 99754-0030 | 2008-07-16 |
1669636866 | City of Galena | Clinic/Center | 148 Katido Street, Kaltag, AK 99748-0148 | 2008-07-16 |
1952422859 | Alaska Island Community Services | Clinic/Center | Naukati Community School, Naukati, AK 99950 | 2007-04-02 |
1699892307 | Sunshine Community Health Center Inc | Clinic/Center | 24091 W Long Lake Rd, Willow, AK 99688-9999 | 2007-03-26 |
1629105804 | Bristol Bay Borough | Clinic/Center | 2 School Road, Naknek, AK 99633-0211 | 2007-02-27 |
Find all providers with the same taxonomy |
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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.