Organization
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Active
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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