Organization
SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
Active
Other names
Petersburg Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL NEUMEISTER (CHIEF OPERATING OFFICER)
(907) 463-4000
Entity
Organization
Contact information
Practice address
202 GJOA ST, PETERSBURG, AK 99833
(907) 772-4963
(907) 772-4964
Mailing address
3100 CHANNEL DR STE 300, JUNEAU, AK 99801-7837
(907) 463-4074
(907) 463-1510
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
70602
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDG633
—
AK
Enumeration date
01/31/2008
Last updated
05/25/2017
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