# SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Juneau Front Street Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386629814
- **Authorized official:** MS. BARBARA SEARLS (CHEIF FINANCIAL OFFICER)
- **Authorized official phone:** (907) 463-4061

## Contact information

- **Practice address:** 225 S FRONT STREET, JUNEAU, AK 99801-1251
- **Practice address phone:** (907) 463-4201
- **Mailing address:** 222 TONGASS DR, SITKA, AK 99835-9416
- **Mailing address phone:** (907) 966-2411
- **Mailing address fax:** (907) 966-8606

## Taxonomy

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

## Other

- **Enumeration date:** 12/07/2005
- **Last updated:** 08/28/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | CL6274 | — | AK |
| 05 | — | DDG227 | — | AK |
| 05 | — | MDG628 | — | AK |
| 05 | — | MDG632 | — | AK |
| 05 | — | PH7402 | — | AK |