BARTLETT REGIONAL HOSPITAL (NPI# 1154331734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154331734 |
| Entity Type | Organization |
| Organization Name | BARTLETT REGIONAL HOSPITAL |
| Other Organization Name | SOUTHEAST PHYSICIANS SERVICES |
| Practice Address |
3268 Hospital Dr Ste A Juneau AK 99801-7800 |
| Mailing Address |
3260 Hospital Dr Juneau AK 99801 |
| Practice Telephone | 9077968212 |
| Mailing Telephone | 9077968632 |
| Mailing Fax Number | 9077968455 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | CHARLES BILL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9077968438 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1020554 | 05 |
| Other Name | Type Code |
|---|---|
| Southeast Physicians Services | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3260 Hospital Dr, Juneau, AK 99801 | 9077968632 | 9077968455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891849261 | Bartlett Regional Hospital | General Acute Care Hospital | 3260 Hospital Drive, Juneau, AK 99801-7808 | 2007-01-23 |
| 1184778698 | Bartlett Regional Hospital | Substance Abuse Rehabilitation Facility | 3250 Hospital Dr, Juneau, AK 99801-7808 | 2007-01-22 |
| 1598397911 | Bartlett Regional Hospital | Clinic/Center | 3250 Hospital Dr, Juneau, AK 99801-7808 | 2020-02-05 |
| 1851921118 | Bartlett Regional Hospital | Clinic/Center | 3268 Hospital Dr Ste A, Juneau, AK 99801-7800 | 2020-01-24 |
| 1326506767 | Bartlett Regional Hospital | General Acute Care Hospital | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2019-03-05 |
| 1477909067 | Bartlett Regional Hospital | Clinic/Center | 1701 Salmon Creek Ln, Juneau, AK 99801-7868 | 2016-05-12 |
| 1508044835 | Bartlett Regional Hospital | Surgery | 3225 Hospital Dr Unit 101a, Juneau, AK 99801-7863 | 2008-02-08 |
| 1255477063 | Bartlett Regional Hospital | Emergency Medicine | 3260 Hospital Dr, 3260 Hospital Dr, Juneau, AK 99801-7808 | 2007-01-29 |
| 1235283607 | Bartlett Regional Hospital | Psychiatric Unit | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2007-01-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BARTLETT REGIONAL HOSPITAL | 3260 Hospital Dr, Juneau, AK 99801-7808 |
| Street Address |
3268 HOSPITAL DR STE A |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-7800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821045188 | Robert A Breffeilh | Ophthalmology | 3268 Hospital Dr Ste A, Ste A, Juneau, AK 99801 | 2006-05-30 |
| 1851921118 | Bartlett Regional Hospital | Clinic/Center | 3268 Hospital Dr Ste A, Juneau, AK 99801-7800 | 2020-01-24 |
| 1760516405 | Robert A Breffeilh Md & Gordon R Preecs Md | Ophthalmology | 3268 Hospital Dr Ste A, Juneau, AK 99801-7800 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962572099 | Juneau Family Birth Center | Clinic/Center | 3225 Hospital Dr Unit 106, Juneau, AK 99801-7863 | 2006-11-08 |
| 1730749573 | Gillian Taylor Kohlhoff | Clinic/Center | 199 County Road Df, Juneau, WI 53039-9512 | 2019-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265690 | Whole Family Integrated Wellness LLC | Clinic/Center | 600 E 36th Ave Ste 300, Anchorage, AK 99503-4168 | 2020-08-11 |
| 1528600947 | Southcentral Foundation | Clinic/Center | 6901 E Tudor Rd Ste 8, Anchorage, AK 99507-1254 | 2019-10-17 |
| 1063980118 | Tanana Valley Clinic LLC | Clinic/Center | 1101 Noble St, Fairbanks, AK 99701-4924 | 2018-11-07 |
| 1558899807 | Arctic Chiropractic and Physical Medicine Kodiak | Clinic/Center | 2975 Mill Bay Rd Ste A, Kodiak, AK 99615-7831 | 2017-05-31 |
| 1811420391 | Southcentral Foundation | Clinic/Center | 1021 E 3rd Ave, Anchorage, AK 99501-6102 | 2017-04-11 |
| 1942751631 | Fairbanks Memorial Cardiology Clinic, LLC | Clinic/Center | 1650 Cowles St Dept 61a, Fairbanks, AK 99701-5907 | 2016-10-18 |
| 1689021776 | Southcentral Foundation | Clinic/Center | 755 A St, Anchorage, AK 99501-3625 | 2016-05-18 |
| 1194152058 | Peninsula Pediatric Therapy, Inc. | Clinic/Center | 7335 Palmer Wasilla Hwy, Palmer, AK 99645-6007 | 2013-10-08 |
| 1154591451 | La Integrative Primary Care Centre Inc | Clinic/Center | 8811 Toloff St, Anchorage, AK 99507-3848 | 2008-03-03 |
| 1912954272 | Southcentral Foundation | Clinic/Center | 101 Airport Road, Iliamna, AK 99606 | 2006-05-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.