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Organization
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Active
Organization
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Active
Other names
SEARHC AICS HPG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL NEUMEISTER (CHIEF OPERATING OFFICER)
(907) 463-4000
Entity
Organization
Contact information
Practice address
310 BENNETT ST, WRANGELL, AK 99929
(907) 874-4700
(907) 874-4719
Mailing address
3100 CHANNEL DRIVE STE 300, ATTN: PROVIDER ENROLLMENT, JUNEAU, AK 99801
(907) 463-4000
(907) 463-1510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70206
BUSINESS LICENSE
AK
Enumeration date
01/10/2017
Last updated
05/17/2017
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