# SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Petersburg Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447438502
- **Authorized official:** MR. DANIEL NEUMEISTER (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (907) 463-4000

## Contact information

- **Practice address:** 202 GJOA ST, PETERSBURG, AK 99833
- **Practice address phone:** (907) 772-4963
- **Practice address fax:** (907) 772-4964
- **Mailing address:** 3100 CHANNEL DR STE 300, JUNEAU, AK 99801-7837
- **Mailing address phone:** (907) 463-4074
- **Mailing address fax:** (907) 463-1510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 70602 | AK | Yes |

## Other

- **Enumeration date:** 01/31/2008
- **Last updated:** 05/25/2017