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SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM NPI 1194261594


NPI Information

NPI: 1194261594
Provider Name: SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM

Doing Business As: SEARHC FRONT STREET CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
225 FRONT STREET
JUNEAU, AK
ZIP 99801
Phone: (907) 586-4230
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SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM is a federally qualified health center (fqhc) clinic center in Juneau, AK. SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM NPI is 1194261594. The provider is registered as an organization entity type.
The provider Is Doing Business As Searhc Front Street Clinic.

The provider's business location address is:

225 FRONT STREET
JUNEAU, AK
ZIP 99801
Phone: (907) 586-4230
Fax: (907) 586-4237

The provider's authorized official is Daniel Harris .
The authorized official title is Chief Financial Officer and has the following contact phone number (907) 463-4000.

The enumeration date for this NPI number is 1/10/2017 and was last updated on 12/29/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes
3251S00000XCommunity/Behavioral Health70206ALASKANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11662851MEDICAIDALASKA
21684455MEDICAIDALASKA
370206OTHERALASKABUSINESS LICENSE

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

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