National Provider Identifier Database

SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
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).


Contact Information

SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
202 GJOA ST
PETERSBURG, AK99833
Phone: 907-772-4963
Fax: 907-772-4964
Website:
Specialty Taxonomy Code
* Clinic/Center 261Q00000X

* Indicates primary specialty

NPI Profile & details for SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM

NPI Number 1447438502
Legal business name
LBN
SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
Authorized official DANIEL NEUMEISTER - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart No
Enumeration date 01/31/2008
Last updated 05/25/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • AK License #: 70602
  • AK Medicaid: MDG633

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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