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Southeast Alaska Regional Health Consortium
Federally Qualified Health Center (FQHC) in Coffman Cove, Alaska
NPI 1932645512

Southeast Alaska Regional Health Consortium is a Federally Qualified Health Center (FQHC) based in Juneau, AK and is specialized in Federally Qualified Health Center (FQHC). Southeast Alaska Regional Health Consortium practices in Coffman Cove, AK. The NPI Number for Southeast Alaska Regional Health Consortium is 1932645512 and holds a License No. (Alaska).

The current practice location address for Southeast Alaska Regional Health Consortium is 105 Nw Kodiak Dr, Coffman Cove, AK and can be reached out via phone at 907-874-4700 and via fax at 907-874-4719.

Location: 105 Nw Kodiak Dr, Coffman Cove, AK, 99801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932645512
Provider Name
Southeast Alaska Regional Health Consortium
Credential
Provider Entity Type
Organization
Address
105 Nw Kodiak Dr, Coffman Cove, AK, 99801
Phone Number
907-874-4700
Fax Number
907-874-4719
Provider Enumeration Date
01/06/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1663061 05 AK
70206 01 AK BUSINESS LICENSE
institution
Provider Business Practice Location Address Details
Address
105 Nw Kodiak Dr
City
Coffman Cove
State
Alaska
Zip
99918
Phone Number
907-874-4700
Fax Number
907-874-4719
person
Provider Business Mailing Address Details
Address
105 Nw Kodiak Dr
City
Coffman Cove
State
Alaska
Zip
99918
Phone Number
907-874-4700
Fax Number
907-874-4719
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
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).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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