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Organization
SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
Active
Organization
SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
Active
Other names
Haines Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL HARRIS (CHIEF FINANCIAL OFFICER)
(907) 463-4000
Entity
Organization
Contact information
Practice address
131 1ST STREET SOUTH, HAINES, AK 99827
(907) 766-6300
(907) 766-2675
Mailing address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-2411
(907) 966-8606
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261Q00000X
Clinic/Center
Primary
70206
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CL2274
—
AK
05
—
DDG226
—
AK
05
—
MDG630
—
AK
05
—
MDG632
—
AK
Enumeration date
12/09/2005
Last updated
07/17/2019
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