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NPI Code Detail

MEDICARE: SOUTH EAST ALASKA REGIONAL HEALTH CONSOTIUM - DRUG AND ALCOHOL

MEDICARE: SOUTH EAST ALASKA REGIONAL HEALTH CONSOTIUM - DRUG AND ALCOHOL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center70206AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073598306
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH EAST ALASKA REGIONAL HEALTH CONSOTIUM - DRUG AND ALCOHOL
Provider Business Mailing Address
First Line : 222 TONGASS DR
Second Line :
City : SITKA
State : AK
Zip : 99835-9416
Country : US
Telephone Number : 907-966-2411
Fax Number : 907-966-8606
Provider Business Practice Location Address
First Line : 222 TONGASS DR
Second Line :
City : SITKA
State : AK
Zip : 99835-9416
Country : US
Telephone Number : 907-966-2411
Fax Number : 907-966-8606
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : BARBARA SEARLS
Credential :
Telephone Number : 907-463-4061
Provider Enumeration Date : 12/09/2005
Last Update Date : 08/28/2013

Similar Medicare Providers

1124018486 — MRS. JEANETTE SUSAN BERRY CRNA
Practice Location Address:
222 TONGASS DR
SITKA, AK
99835-9416
Practice Phone: 907-966-8837
Practice Fax: 907-966-8807
1720062524 — SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Practice Location Address:
222 TONGASS DR
SITKA, AK
99835-9416
Practice Phone: 907-966-2411
Practice Fax: 907-966-8606
1548245871 — SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
Practice Location Address:
222 TONGASS DR
SITKA, AK
99835-9416
Practice Phone: 907-966-2411
Practice Fax: 907-966-8606
1437136041 — MS. TIFFANY NICOLLE ANDRES MS, RD
Practice Location Address:
222 TONGASS DR
SITKA, AK
99835-9416
Practice Phone: 907-966-2411
Practice Fax: 907-966-8606
1124005731 — DR. JOHN A BACIOCCO MD
Practice Location Address:
222 TONGASS DR
SITKA, AK
99835-9416
Practice Phone: 907-966-2411
Practice Fax: 907-966-8606
1710964341 — MS. NANCY JO BLEIER LCSW
Practice Location Address:
222 TONGASS DR
SITKA, AK
99835-9416
Practice Phone: 907-966-2411
Practice Fax: 907-966-8606

Directions to “SOUTH EAST ALASKA REGIONAL HEALTH CONSOTIUM - DRUG AND ALCOHOL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.