Organization
SOUTHEAST URGENT CARE INCORPORATED
Active
Other names
Juneau Urgent and Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA VICTORIA MCGUIRE (CLINIC ADMINISTRATOR)
(907) 796-9532
Entity
Organization
Contact information
Practice address
8505 OLD DAIRY RD, JUNEAU, AK 99801-8042
(907) 790-4111
(907) 790-3111
Mailing address
8505 OLD DAIRY RD, JUNEAU, AK 99801-8042
(907) 790-4111
(907) 790-3111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5909
AK
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
332900000X
Non-Pharmacy Dispensing Site
5909
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K160780
GROUP MEDICARE PTAN
AK
01
—
K160807
MEDICARE PTAN
AK
05
—
MD10031
—
AK
05
—
MD85051
—
AK
Enumeration date
10/05/2006
Last updated
06/14/2023
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