Organization
SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
Active
Other names
Juneau Front Street Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA SEARLS (CHEIF FINANCIAL OFFICER)
(907) 463-4061
Entity
Organization
Contact information
Practice address
225 S FRONT STREET, JUNEAU, AK 99801-1251
(907) 463-4201
Mailing address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-2411
(907) 966-8606
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
70206
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CL6274
—
AK
05
—
DDG227
—
AK
05
—
MDG628
—
AK
05
—
MDG632
—
AK
05
—
PH7402
—
AK
Enumeration date
12/07/2005
Last updated
08/28/2013
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