Provider Type Icon

SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM NPI 1386629814


NPI Information

NPI: 1386629814
Provider Name: SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM

Doing Business As: JUNEAU FRONT STREET CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
225 S FRONT STREET
JUNEAU, AK
ZIP 99801
Phone: (907) 463-4201
Get Directions

SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM is a clinic center in Juneau, 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 1386629814. The provider is registered as an organization entity type.
The provider Is Doing Business As Juneau Front Street Clinic.

The provider's business location address is:

225 S FRONT STREET
JUNEAU, AK
ZIP 99801-251
Phone: (907) 463-4201

The provider's authorized official is Barbara Searls .
The authorized official title is Cheif Financial Officer and has the following contact phone number (907) 463-4061.

The enumeration date for this NPI number is 12/7/2005 and was last updated on 8/28/2013.


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/Center70206ALASKAYes

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
1MDG632MEDICAIDALASKA
2MDG628MEDICAIDALASKA
3DDG227MEDICAIDALASKA
4CL6274MEDICAIDALASKA
5020027MEDICARE OSCAR/CERTIFICATIONALASKA
6PH7402MEDICAIDALASKA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.