Organization
SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
Active
Other names
Haines Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL HARRIS (CHIEF FINANCIAL OFFICER)
(907) 463-4000
Entity
Organization
Contact information
Practice address
131 1ST STREET SOUTH, HAINES, AK 99827
(907) 766-6300
(907) 766-2675
Mailing address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-2411
(907) 966-8606
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
—
CL2274
—
AK
05
—
DDG226
—
AK
05
—
MDG630
—
AK
05
—
MDG632
—
AK
Enumeration date
12/09/2005
Last updated
07/17/2019
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