Organization
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Active
Other names
Thorne Bay Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL HARRIS (SR. VP CHIEF FINANCIAL OFFICER)
(907) 463-4000
Entity
Organization
Contact information
Practice address
120 FREEMAN DR, THORNE BAY, AK 99919-0423
(907) 828-8848
Mailing address
3100 CHANNEL DR, STE 300, JUNEAU, AK 99801
(907) 463-4074
(907) 463-1510
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
70206
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CL9200
—
AK
05
—
MDG632
—
AK
Enumeration date
05/14/2007
Last updated
07/25/2022
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