# SOUTHEAST URGENT CARE INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Juneau Urgent and Family Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841386117
- **Authorized official:** ALICIA VICTORIA MCGUIRE (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (907) 796-9532

## Contact information

- **Practice address:** 8505 OLD DAIRY RD, JUNEAU, AK 99801-8042
- **Practice address phone:** (907) 790-4111
- **Practice address fax:** (907) 790-3111
- **Mailing address:** 8505 OLD DAIRY RD, JUNEAU, AK 99801-8042
- **Mailing address phone:** (907) 790-4111
- **Mailing address fax:** (907) 790-3111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 5909 | AK | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 332900000X | Non-Pharmacy Dispensing Site | 5909 | AK | — |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 06/14/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | K160780 | GROUP MEDICARE PTAN | AK |
| 01 | — | K160807 | MEDICARE PTAN | AK |
| 05 | — | MD10031 | — | AK |
| 05 | — | MD85051 | — | AK |