# SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SEARHC AICS Whale Pass Clinic, SEARHC WHALE PASS CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386180784
- **Authorized official:** MR. DANIEL HARRIS (VP/CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (907) 463-4000

## Contact information

- **Practice address:** COMMUNITY BUILDING, WHALE PASS, AK 99950
- **Practice address phone:** (907) 874-4700
- **Practice address fax:** (907) 874-4719
- **Mailing address:** 3100 CHANNEL DRIVE STE 300, ATTN: PROVIDER ENROLLMENT, JUNEAU, AK 99801
- **Mailing address phone:** (907) 463-4000
- **Mailing address fax:** (907) 463-1510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |

## Other

- **Enumeration date:** 01/10/2017
- **Last updated:** 12/29/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 70206 | BUSINESS LICENSE | AK |