SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM NPI 1215913801

NPI Information

SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM is a clinic center in Klawock, AK. The provider is 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). SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM NPI is 1215913801. The provider is registered as an organization entity type.
The provider Is Doing Business As Alicia Roberts Medical Center.

The provider's business location address is:

7300 KLAWOCK-HOLLIS HWY
KLAWOCK, AK
ZIP 99925-069
Phone: (907) 755-4800

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 CLIA number assigned to this NPI record is 02D1015821 - federally qualified health center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/16/2005 and was last updated on 7/18/2019.

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:

Other Identifiers

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

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