SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM (NPI# 1932645512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932645512 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM |
| Other Organization Name | SEARHC AICS COFFMAN COVE |
| Practice Address |
105 Nw Kodiak Dr Coffman Cove AK 99918 |
| 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 | 2017-01-06 |
| 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 Coffman Cove | 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 |
| 1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
| Street Address |
105 NW KODIAK DR |
| City | COFFMAN COVE |
| State | AK |
| Zip Code | 99918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982133682 | Offshore Drilling LLC | Clinic/Center | Po Box 18047, Coffman Cove, AK 99918-0047 | 2017-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689729980 | Alaska Island Community Services | Clinic/Center | 102 Harpoon Way, Coffman Cove, AK 99929 | 2007-01-24 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1477003978 | Alaska Island Community Services | Clinic/Center | 110 Lynch Street, Wrangell, AK 99929 | 2016-10-07 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | COFFMAN COVE |
| Zip Code | 99918 |
Please comment or provide details below to improve the information on SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM.
| 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.