BARTLETT REGIONAL HOSPITAL NPI 1154331734

NPI Information

NPI: 1154331734
Provider Name: BARTLETT REGIONAL HOSPITAL

Doing Business As: SOUTHEAST PHYSICIANS SERVICES

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3268 HOSPITAL DR STE A
JUNEAU, AK
ZIP 99801
Phone: (907) 796-8212
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BARTLETT REGIONAL HOSPITAL is a multi-specialty clinic center in Juneau, AK. BARTLETT REGIONAL HOSPITAL NPI is 1154331734. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeast Physicians Services.

The provider's business location address is:

3268 HOSPITAL DR STE A
JUNEAU, AK
ZIP 99801-800
Phone: (907) 796-8212

The provider's authorized official is Jerel Humphrey .
The authorized official title is Interim Ceo and has the following contact phone number (907) 796-8900.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 2/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1020554	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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