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institution
South East Alaska Regional Health Consortium
Clinic/Center in Petersburg, Alaska
NPI 1447438502

South East Alaska Regional Health Consortium is a Clinic/Center based in Juneau, AK. South East Alaska Regional Health Consortium practices in Petersburg, AK. The NPI Number for South East Alaska Regional Health Consortium is 1447438502 and holds a License No. 70602 (Alaska).

The current practice location address for South East Alaska Regional Health Consortium is 202 Gjoa St, Petersburg, AK and can be reached out via phone at 907-772-4963 and via fax at 907-772-4964.

Location: 202 Gjoa St, Petersburg, AK, 99801-7837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447438502
Provider Name
South East Alaska Regional Health Consortium
Credential
Provider Entity Type
Organization
Address
202 Gjoa St, Petersburg, AK, 99801-7837
Phone Number
907-772-4963
Fax Number
907-772-4964
Provider Enumeration Date
01/31/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MDG633 05 AK
institution
Provider Business Practice Location Address Details
Address
202 Gjoa St
City
Petersburg
State
Alaska
Zip
99833
Phone Number
907-772-4963
Fax Number
907-772-4964
person
Provider Business Mailing Address Details
Address
202 Gjoa St
City
Petersburg
State
Alaska
Zip
99833
Phone Number
907-772-4963
Fax Number
907-772-4964
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
70602 (Alaska)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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