Organization
SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
Active
Other names
Alicia Roberts Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL HARRIS (CHIEF FINANCIAL OFFICER)
(907) 463-4000
Entity
Organization
Contact information
Practice address
7300 KLAWOCK-HOLLIS HWY, KLAWOCK, AK 99925-0069
(907) 755-4800
Mailing address
3100 CHANNEL DRIVE, STE 300, JUNEAU, AK 99801
(907) 463-4074
(907) 463-1510
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
70206
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CL2276
—
AK
05
—
DDG225
—
AK
05
—
MDG631
—
AK
05
—
MDG632
—
AK
Enumeration date
12/16/2005
Last updated
07/18/2019
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