SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM; NPI #1235329459

Contact Information

SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM

222 TONGASS DR
SITKA, AK 99835-9416

Phone: 907-966-2411
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM

NPI # 1235329459

LBN Legal business name SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM

Authorized official DAVID EDWARDS - (VP OF FINANCE)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 07/25/2007

Last updated 07/25/2007 - About 19 years ago

Identifiers

AK	License #	70206
AK	Medicaid	HS-08-OP

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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