SOUTHEAST URGENT CARE INCORPORATED NPI 1841386117

NPI Information

NPI: 1841386117
Provider Name: SOUTHEAST URGENT CARE INCORPORATED

Doing Business As: JUNEAU URGENT AND FAMILY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

Address:
8505 OLD DAIRY RD
JUNEAU, AK
ZIP 99801
Phone: (907) 790-4111
Get Directions

SOUTHEAST URGENT CARE INCORPORATED is a family medicine in Juneau, AK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTHEAST URGENT CARE INCORPORATED NPI is 1841386117. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Juneau Urgent And Family Care.

The provider's business location address is:

8505 OLD DAIRY RD
JUNEAU, AK
ZIP 99801-042
Phone: (907) 790-4111
Fax: (907) 790-3111

The provider's authorized official is Alicia Victoria Mcguire .
The authorized official title is Clinic Administrator and has the following contact phone number (907) 796-9532.

The CLIA number assigned to this NPI record is 02D1058864 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 6/14/2023.

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	207P00000X	Emergency Medicine		5909	ALASKA	No
2	261QP2300X	Clinic/Center	Primary Care			No
3	261QU0200X	Clinic/Center	Urgent Care			No
4	332900000X	Non-Pharmacy Dispensing Site		5909	ALASKA	No
5	207Q00000X	Family Medicine				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	MD85051	MEDICAID	ALASKA
2	MD10031	MEDICAID	ALASKA
3	K160807	OTHER	ALASKA	MEDICARE PTAN
4	K160780	OTHER	ALASKA	GROUP MEDICARE PTAN

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: 4/28/2024

NPI Synchronization or Removal

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