Healthcare Provider Details

I. General information

NPI: 1386814473
Provider Name (Legal Business Name): SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2008
Last Update Date: 06/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 KATLIAN ST
SITKA AK
99835-7525
US

IV. Provider business mailing address

222 TONGASS DR
SITKA AK
99835-9416
US

V. Phone/Fax

Practice location:
  • Phone: 907-966-2411
  • Fax: 907-966-8606
Mailing address:
  • Phone: 907-966-2411
  • Fax: 907-966-8606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number70206
License Number StateAK

VIII. Authorized Official

Name: BARBARA SEARLS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 907-463-4061