SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM (NPI# 1831720713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831720713 |
Entity Type | Organization |
Organization Name | SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM |
Practice Address |
202 2nd & Gjoa Street 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 | 2020-01-30 |
Last Update Date | 2020-01-30 |
Authorized Official Name | DANIEL HARRIS (VP/CFO) |
Authorized Official Telephone | 9074634000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | STATE OF ALASKA | 70206 | 01 |
Other Name | Type Code |
---|---|
1115 SUD Waiver | Other Name - Individual/Organization |
SEARHC Petersburg Behavioral Health | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104457084 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | Eight Street Extension, Hydaburg, AK 99922 | 2020-01-30 |
1841843794 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1200 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
1992358840 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1212 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
1952815706 | Southeast Alaska Regional Health Consortium | Home Health | 814 Halibut Point Rd Ste 202, Sitka, AK 99835-7101 | 2017-11-30 |
1063958452 | Southeast Alaska Regional Health Consortium | Clinic/Center | Cannery Site, Excursion Inlet, AK 99850 | 2017-01-10 |
1194261594 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 225 Front Street, Juneau, AK 99801 | 2017-01-10 |
1962948356 | Southeast Alaska Regional Health Consortium | Clinic/Center | Community Building, Port Protection, AK 99950 | 2017-01-10 |
1659817054 | Southeast Alaska Regional Health Consortium | Clinic/Center | Naukati Community Church, Naukati, AK 99950 | 2017-01-10 |
1932645512 | Southeast Alaska Regional Health Consortium | Clinic/Center | 105 Nw Kodiak Dr, Coffman Cove, AK 99918 | 2017-01-06 |
1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
Street Address |
202 2ND & GJOA STREET |
City | PETERSBURG |
State | AK |
Zip Code | 99833 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1588075253 | Jasmin A Jones | Acupuncturist | 13c Gjoa Street, Petersburg, AK 99833 | 2014-05-15 |
Find all providers in zip 99833 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881104891 | Family Preservation Services, Inc. | Community/Behavioral Health | 816 E Bank St, Petersburg, VA 23803-3406 | 2017-10-04 |
1003342445 | Commonwealth Day Support | Community/Behavioral Health | 500 S Sycamore St, Petersburg, VA 23803-5046 | 2017-05-04 |
1356899652 | Armos | Community/Behavioral Health | 43 Rives Rd Bsmt, Petersburg, VA 23805-9255 | 2016-09-14 |
1427403476 | First Step Service LLC | Community/Behavioral Health | 20 E Tabb St Ste 204, Petersburg, VA 23803-4560 | 2016-04-27 |
1932560927 | Heavenly Touch Counseling Service LLC. | Community/Behavioral Health | 1035 Gustavo Ln, Petersburg, VA 23805-2356 | 2016-03-17 |
1578972139 | Alternative Behavioral Concepts, LLC | Community/Behavioral Health | 441 Harding St, Petersburg, VA 23803-5019 | 2014-08-07 |
1780929364 | Centel Healthcare Inc | Community/Behavioral Health | 803 Hinton St, Suite 308, Petersburg, VA 23803-3028 | 2012-12-07 |
1760789200 | Extreme Counseling Solutions | Community/Behavioral Health | 811 Logan St, Petersburg, VA 23803-3329 | 2011-02-18 |
1861796039 | Envision One | Community/Behavioral Health | 15 Goodrich Ave, Petersburg, VA 23805-2119 | 2011-01-03 |
1972838449 | Destiny Services, Inc | Community/Behavioral Health | 1124 W Washington St, Petersburg, VA 23803-3921 | 2009-10-16 |
Find all providers in PETERSBURG |
City | PETERSBURG |
Zip Code | 99833 |
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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.