SEARHC - ALICIA ROBERTS MEDICAL CENTER PHARMACY (NPI# 1194812024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194812024 |
| Entity Type | Organization |
| Organization Name | SEARHC - ALICIA ROBERTS MEDICAL CENTER PHARMACY |
| Practice Address |
13004 Klawock Hollis Highway Klawock AK 99925 |
| Mailing Address |
3100 Channel Drive Ste 300 Juneau AK 99801 |
| Practice Telephone | 9077554800 |
| Practice Fax Number | 9077554806 |
| Mailing Telephone | 9074634074 |
| Mailing Fax Number | 9074631510 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2017-05-31 |
| Authorized Official Name | DANIEL NEUMEISTER (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9074634000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 113762 | AK | Suppliers |
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 113762 | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | NCPDP | 0202604 | 01 |
| AK | CL2276 | 05 | |
| AK | PH0025 | 05 |
| Street Address |
13004 KLAWOCK HOLLIS HIGHWAY |
| City | KLAWOCK |
| State | AK |
| Zip Code | 99925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841533635 | Forest F Anderson | Counselor | 13004 Klawock Hollis Highway, Klawock, AK 99925-0069 | 2013-04-01 |
| 1396077897 | Victoria Mann | Registered Nurse | 13004 Klawock Hollis Highway, Klawock, AK 99925-0069 | 2010-02-08 |
| 1699811612 | South East Alaska Regional Health Consortium | Dentist | 13004 Klawock Hollis Highway, Klawock, AK 99925 | 2007-01-29 |
| 1255498614 | Robin M Cope | Physician Assistant | 13004 Klawock Hollis Highway, Klawock, AK 99925 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634047 | Chelsie Coffman | Physician Assistant | 7300 Klawock Hollis Hwy A, Klawock, AK 99925 | 2020-03-20 |
| 1942707609 | Alison R Green | Counselor | 7300 Hollis Hwy, Klawock, AK 99925 | 2018-04-10 |
| 1154757094 | Stephanie Lynn Haseltine | Dietitian, Registered | Mile 12.7 Klawock Hollis Hwy, Klawock, AK 99925 | 2013-09-24 |
| 1841540929 | Searhc | General Acute Care Hospital | 1305 Craig Klowack Hwy, Klowack, AK 99925 | 2012-09-14 |
| 1356600886 | Di Ann Thain | Dental Hygienist | 7300a Klawock-hollis Hwy, Klawock, AK 99925 | 2012-05-03 |
| 1760719116 | South East Alaska Regional Health Consortium | Clinic/Center | 13004 Klawock Hollis Hwy, Klawock, AK 99925 | 2009-11-05 |
| 1932346053 | Apollo Mt, LLC | Ambulance | 360 Anchorage St, Klawock, AK 99925 | 2009-01-12 |
| 1417131574 | Julie Ann Sturtevant | Registered Nurse | 7300 A Klawock Hollis Highway, Klawock, AK 99925 | 2007-12-26 |
| 1114147758 | Cynthia Gail Austin | Registered Nurse | 7300 Klawock Hollis Hwy, Klawock, AK 99925 | 2007-04-26 |
| 1811015712 | Catholic Community Service | Case Management | 465 Summit St, Klawock, AK 99925 | 2007-03-27 |
| Find all providers in zip 99925 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720460652 | Alaska Native Tribal Health Consortium | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3801 University Lake Dr Ste 100, Anchorage, AK 99508-4658 | 2015-06-27 |
| 1972869071 | Alaska Native Tribal Health Consortium | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1w326, 4315 Diplomacy Drive, Anchorage, AK 99508 | 2012-04-03 |
| 1194848242 | Searhc Haines Medical Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 131 First Ave South, Haines, AK 99827-1549 | 2007-04-06 |
| 1366587743 | Scf Rasu Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 4160 Tudor Centre Dr, Anchorage, AK 99508-5901 | 2007-02-21 |
| 1154493666 | Maniilaq Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 5th St and Grizzley, Kotzebue, AK 99752 | 2006-11-14 |
| 1881780880 | Searhc - Mte Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 222 Tongass Drive, Sitka, AK 99835 | 2006-10-05 |
| 1851486153 | Searhc - Juneau Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1200 Salmon Creek Road, Juneau, AK 99801 | 2006-10-03 |
| 1245605179 | Norton Sound Health Corporation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 189 Airport Road, Unalakleet, AK 99684-0189 | 2015-12-03 |
| 1760739601 | Southcentral Foundation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2012-08-09 |
| 1811106271 | Alaska Native Tribal Health Consortium | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2007-05-22 |
| 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.