# SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kake Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114973849
- **Authorized official:** MR. DANIEL NEUMEISTER (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (907) 463-4000

## Contact information

- **Practice address:** 105 TOTEM WAY, KAKE, AK 99830
- **Practice address phone:** (907) 785-3333
- **Mailing address:** 3100 CHANNEL DR, STE 300, JUNEAU, AK 99801
- **Mailing address phone:** (907) 463-4074
- **Mailing address fax:** (907) 463-1510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 70206 | AK | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 05/25/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | CL2745 | — | AK |
| 05 | — | MDG632 | — | AK |