SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM (NPI# 1447438502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447438502 |
| Entity Type | Organization |
| Organization Name | SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM |
| Other Organization Name | PETERSBURG CLINIC |
| Practice Address |
202 Gjoa St Petersburg AK 99833 |
| Mailing Address |
3100 Channel Dr Ste 300 Juneau AK 99801-7837 |
| Practice Telephone | 9077724963 |
| Practice Fax Number | 9077724964 |
| Mailing Telephone | 9074634074 |
| Mailing Fax Number | 9074631510 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2017-05-25 |
| Authorized Official Name | MR. DANIEL NEUMEISTER (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9074634000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 70602 | AK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MDG633 | 05 |
| Other Name | Type Code |
|---|---|
| Petersburg Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306173752 | South East Alaska Regional Health Consortium | Clinic/Center | 37 Chilkat Ave., Klukwan, AK 99827 | 2009-11-05 |
| 1760719116 | South East Alaska Regional Health Consortium | Clinic/Center | 13004 Klawock Hollis Hwy, Klawock, AK 99925 | 2009-11-05 |
| 1710126008 | South East Alaska Regional Health Consortium | Lodging | 222 Tongass Dr Bldg 121, Sitka, AK 99835-9416 | 2009-02-11 |
| 1376758037 | South East Alaska Regional Health Consortium | Clinic/Center | 120 Freeman Dr, Thorne Bay, AK 99919-0423 | 2007-05-14 |
| 1073728168 | South East Alaska Regional Health Consortium | Clinic/Center | 8 Extension, Hydaburg, AK 99922 | 2007-05-11 |
| 1962616821 | South East Alaska Regional Health Consortium | Clinic/Center | 100 Clinic Way, Kasaan, AK 99950-0340 | 2007-05-10 |
| 1659585479 | South East Alaska Regional Health Consortium | Clinic/Center | 101 Salmon Way, Pelican, AK 99832 | 2007-05-10 |
| 1932312485 | South East Alaska Regional Health Consortium | Nursing Facility/Intermediate Care Facility | 2000 Salmon Creek Lane, 2000 Salmon Creek Lane, Juneau, AK 99801-7801 | 2007-05-08 |
| 1114973849 | South East Alaska Regional Health Consortium | Clinic/Center | 105 Totem Way, Kake, AK 99830 | 2006-05-25 |
| 1215983945 | South East Alaska Regional Health Consortium | Clinic/Center | 725 Relay Road, Angoon, AK 99820 | 2006-05-25 |
| Street Address |
202 GJOA ST |
| City | PETERSBURG |
| State | AK |
| Zip Code | 99833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831720713 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 202 2nd & Gjoa Street, Petersburg, AK 99833 | 2020-01-30 |
| 1710518006 | Troy Carl Larson | Behavior Technician | 200 Fram Street, Petersburg, AK 99833 | 2020-01-27 |
| 1770128316 | Brenda Louise | Assisted Living Facility | 206 S 2nd, Petersburg, AK 99833 | 2019-11-07 |
| 1861055337 | Ashley Kawashima | Counselor | 100 Fram St., Petersburg, AK 99833 | 2019-04-19 |
| 1932762499 | Mindy Lopez | Rehabilitation Counselor | 1016 Lake Street, Petersburg, AK 99833 | 2019-04-19 |
| 1760921753 | Patrick Sessa | Social Worker | 201 N Nordic Dr., Petersburg, AK 99833 | 2017-02-23 |
| 1992151294 | Bradee Ann Luhr | Physical Therapist | 244 Mitkof Highway, Petersburg, AK 99833 | 2016-05-05 |
| 1891158267 | Lina Kotsoeva | Counselor | 226 S Nordic Dr, Petersburg, AK 99833 | 2016-04-01 |
| 1447623137 | Pacific Wings, LLC | Air Carrier | 1500 Haugen Drive, Petersburg, AK 99833 | 2015-11-04 |
| 1366857088 | Amanda Lemiere Taylor | Social Worker | 201 N Nordic Dr, Petersburg, AK 99833 | 2014-06-23 |
| Find all providers in zip 99833 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386809044 | Crippled Children's Hospital | Clinic/Center | 321 B Poplar Drive, Suite 4 Children's Hospital Therapy Center, Petersburg, VA 23805 | 2008-07-22 |
| 1245422674 | Sakuntla Pllc | Clinic/Center | 700 S Sycamore St, Suite 2b, Petersburg, VA 23803-5803 | 2007-08-09 |
| 1881643617 | Petersburg Clinic Company LLC | Clinic/Center | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596026 | Pivotal Care Partnership | Clinic/Center | 2925 Debarr Rd Ste 199, Anchorage, AK 99508-2959 | 2020-10-19 |
| 1942807862 | Turning Leaf Literacy Center, LLC | Clinic/Center | 690 E Susitna Ave, Wasilla, AK 99654-8124 | 2020-10-04 |
| 1982237921 | Revive Aesthetics & Spa Wasilla, LLC | Clinic/Center | 1175 N Leatherleaf Loop Ste F, Wasilla, AK 99654-6527 | 2020-02-18 |
| 1821560160 | Ideal Option, Pllc | Clinic/Center | 3159 Tongass Ave, Ketchikan, AK 99901-5745 | 2018-12-27 |
| 1902389943 | Ideal Option, Pllc | Clinic/Center | 8585 Old Dairy Rd Ste 200, Juneau, AK 99801-8094 | 2018-09-14 |
| 1063911287 | Ideal Option, Pllc | Clinic/Center | 416 Frontage Rd # 400, Kenai, AK 99611-7770 | 2018-02-02 |
| 1255857876 | Vera Whole Health | Clinic/Center | 582 E 36th Ave Ste 203, Anchorage, AK 99503-4138 | 2017-08-15 |
| 1871020123 | Coburn Health Consulting LLC | Clinic/Center | 4401 Business Park Blvd # N-26, Anchorage, AK 99503-7172 | 2017-05-17 |
| 1063958452 | Southeast Alaska Regional Health Consortium | Clinic/Center | Cannery Site, Excursion Inlet, AK 99850 | 2017-01-10 |
| 1962948356 | Southeast Alaska Regional Health Consortium | Clinic/Center | Community Building, Port Protection, AK 99950 | 2017-01-10 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 99833 |
Please comment or provide details below to improve the information on SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM.
| 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.