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Organization
SOUTHEAST URGENT CARE INCORPORATED
Active
Organization
SOUTHEAST URGENT CARE INCORPORATED
Active
Other names
Juneau Urgent and Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA VICTORIA MCGUIRE (CLINIC ADMINISTRATOR)
(907) 796-9532
Entity
Organization
Contact information
Practice address
8505 OLD DAIRY RD, JUNEAU, AK 99801-8042
(907) 790-4111
(907) 790-3111
Mailing address
8505 OLD DAIRY RD, JUNEAU, AK 99801-8042
(907) 790-4111
(907) 790-3111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5909
AK
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL
332900000X
Non-Pharmacy Dispensing Site
5909
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K160780
GROUP MEDICARE PTAN
AK
01
—
K160807
MEDICARE PTAN
AK
05
—
MD10031
—
AK
05
—
MD85051
—
AK
Enumeration date
10/05/2006
Last updated
06/14/2023
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