DIALYSIS SERVICES OF SOUTHEAST ALASKA, LLC (NPI# 1215049010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215049010 |
| Entity Type | Organization |
| Organization Name | DIALYSIS SERVICES OF SOUTHEAST ALASKA, LLC |
| Practice Address |
9109 Mendenhall Mall Rd Suite 6 Juneau AK 99801 |
| Practice Telephone | 9077903002 |
| Mailing Telephone | 9077903002 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-03-13 |
| Authorized Official Name | MR. MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | PTAN | 02-2504 | 01 |
| Street Address |
9109 MENDENHALL MALL RD SUITE 6 |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263387 | Alaska Infusion Therapy, Inc. | Pharmacy | 9109 Mendenhall Mall Rd, Ste 7a, Juneau, AK 99801-7142 | 2005-05-24 |
| 1790234912 | Marisha Bourgeois | Speech-Language Pathologist | 9109 Mendenhall Mall Rd, Suite 5k, Juneau, AK 99801-7136 | 2016-09-28 |
| 1043456411 | Linda L. Newman | Occupational Therapist | 9109 Mendenhall Mall Rd, Suite 5k, Juneau, AK 99801-7113 | 2009-01-06 |
| 1720255946 | Denali Mesa Corporation | Physical Therapist | 9109 Mendenhall Mall Rd, Ste 5k, Juneau, AK 99801-7113 | 2008-05-15 |
| 1245455625 | Hope Community Resources Inc | Case Management | 9109 Mendenhall Mall Rd, Ste 5d, Juneau, AK 99801-7113 | 2007-04-13 |
| 1518083849 | Monica Monty | Physical Therapist | 9109 Mendenhall Mall Rd, Suite 5k, Juneau, AK 99801-7113 | 2007-03-21 |
| 1932233970 | Alaska Solutions Inc | Respite Care | 9109 Mendenhall Mall Rd, Suite 4a, Juneau, AK 99801-7113 | 2007-03-14 |
| 1912037185 | Hope Community Resources Inc | Case Management | 9109 Mendenhall Mall Rd, Ste 5d, Juneau, AK 99801-7113 | 2007-03-06 |
| 1316082167 | Glacier View Tlc Pharmacy | Durable Medical Equipment & Medical Supplies | 9109 Mendenhall Mall Rd, Suite 7-a, Juneau, AK 99801-7113 | 2007-02-20 |
| 1851448153 | Heidi S. Johnson | Speech-Language Pathologist | 9109 Mendenhall Mall Rd, Suite 2, Juneau, AK 99801-7113 | 2007-01-05 |
| Find all providers in the same location | ||||
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316206915 | Ad Partners II, LLC | Clinic/Center | 360 Boniface Pkwy, Suite A11, Anchorage, AK 99504-4900 | 2012-05-16 |
| 1801046362 | Fresenius Medical Care Soldotna, LLC | Clinic/Center | 289 North Fireweed, Soldotna, AK 99669-5333 | 2008-09-22 |
| 1154570067 | Fresenius Medical Care Southwest Anchorage, LLC | Clinic/Center | 9085 Blackberry Street, Anchorage, AK 99502-5308 | 2008-09-16 |
| 1841468535 | Liberty Dialysis - Alaska LLC | Clinic/Center | 901 E Dimond Blvd, Anchorage, AK 99515-2007 | 2008-02-14 |
| 1770695579 | Renal Care Group Alaska, Inc. | Clinic/Center | 3950 Laurel St, Anchorage, AK 99508-5333 | 2006-08-31 |
| 1689786485 | Renal Care Group Alaska, Inc. | Clinic/Center | 1863 Airport Way, Fairbanks, AK 99701-4007 | 2006-08-31 |
| 1497867295 | Renal Care Group Wasilla LLC | Clinic/Center | 3787 East Meridian Loop, Wasilla, AK 99654-7270 | 2006-08-31 |
| 1639554017 | Muldoon Development Partners LLC | Clinic/Center | 2735 E Tudor Rd, Anchorage, AK 99507-1135 | 2015-07-27 |
| 1679912059 | Renal Care Group Alaska Fairbanks, LLC | Clinic/Center | 1863 Airport Way, Fairbanks, AK 99701-4007 | 2013-06-19 |
| 1780865741 | Liberty Dialysis - Ahp LLC | Clinic/Center | 4050 Lake Otis Pkwy, Suite 106, Anchorage, AK 99508-5212 | 2007-11-19 |
| 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.