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Organization

SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM

Active
Other names
SEARHC FRONT STREET 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
225 FRONT STREET, JUNEAU, AK 99801
(907) 586-4230
(907) 586-4237
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
251S00000X
Community/Behavioral Health Agency
70206
AK
261Q00000X
Clinic/Center
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1662851
AK
05
1684455
AK
01
70206
BUSINESS LICENSE
AK
Enumeration date
01/10/2017
Last updated
12/29/2020
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