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General NPI Number Information
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NPI Number | 1356829279
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Entity Type | Organization
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Legal Business Name | SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
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Dates
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Enumeration Date | 08/02/2018
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Last Update Date | 12/31/2020
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Provider Practice Location Address
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Address Line | 232 WOOD STREET
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City | WRANGELL
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State | AK
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Zip | 99929
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Country | US
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Telephone | 907-874-7000
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Fax | 907-874-7122
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Provider Business Mailing Address
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Address Line | 3100 CHANNEL DR STE 300
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City | JUNEAU
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State | AK
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Zip | 99801-7837
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Country | US
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Telephone | 907-463-4074
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Fax | 907-463-1510
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Authorized Official
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Title or Position | VP/CHIEF FINANCIAL OFFICER
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Name | DANIEL HARRIS
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Credential |
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Telephone | 907-463-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 70206
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 70206
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License Number State | AK
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