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NPI Code Detail

MEDICARE: SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM

MEDICARE: SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
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
1251S00000XCommunity/Behavioral Health Agency70206AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548245871
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
Provider Business Mailing Address
First Line : 3100 CHANNEL DR
Second Line : STE 300
City : JUNEAU
State : AK
Zip : 99801
Country : US
Telephone Number : 907-463-4074
Fax Number : 907-463-1510
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 OPERATING OFFICER
Name : MR. DANIEL NEUMEISTER
Credential :
Telephone Number : 907-463-4000
Provider Enumeration Date : 12/09/2005
Last Update Date : 05/25/2017

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
1073598306 — SOUTH EAST ALASKA REGIONAL HEALTH CONSOTIUM - DRUG AND ALCOHOL
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 CONSORTIUM ” Practice Location

Language Start Address Practice Location
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.

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