BARTLETT REGIONAL HOSPITAL (NPI# 1851921118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851921118 |
| Entity Type | Organization |
| Organization Name | BARTLETT REGIONAL HOSPITAL |
| Practice Address |
3268 Hospital Dr Ste A Juneau AK 99801-7800 |
| Mailing Address |
3260 Hospital Dr Juneau AK 99801-7808 |
| Practice Telephone | 9077968498 |
| Practice Fax Number | 9077968497 |
| Mailing Telephone | 9077968498 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | TAMI MAY LAWSON-CHURCHILL (DIRECTOR) |
| Authorized Official Telephone | 9077968435 |
| Is Organization Subpart | Y |
| Parent Organization Name | BARTLETT REGIONAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| 1115 MH Waiver | Other Name - Individual/Organization |
| Southeast Physician Services | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1154331734 | Bartlett Regional Hospital | Clinic/Center | 3268 Hospital Dr Ste A, Juneau, AK 99801-7800 | 2006-08-08 |
| 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 |
| 1760516405 | Robert A Breffeilh Md & Gordon R Preecs Md | Ophthalmology | 3268 Hospital Dr Ste A, Juneau, AK 99801-7800 | 2007-03-15 |
| 1154331734 | Bartlett Regional Hospital | Clinic/Center | 3268 Hospital Dr Ste A, Juneau, AK 99801-7800 | 2006-08-08 |
| 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 | 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 |
|---|---|---|---|---|
| 1124646641 | Alaska Art Therapy and Counseling | Community/Behavioral Health | 1107 W 8th St Unit 5, Juneau, AK 99801-1853 | 2020-07-10 |
| 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 |
| 1922564459 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1255 Glacier Ave, Juneau, AK 99801 | 2019-02-20 |
| 1275099707 | Juneau Youth Services, Inc. | Community/Behavioral Health | 11880 Glacier Hwy, Juneau, AK 99801 | 2019-02-20 |
| 1003372533 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd., Juneau, AK 99801 | 2019-02-20 |
| 1669938189 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Drive, Juneau, AK 99801 | 2019-02-20 |
| Find all providers in JUNEAU | ||||
Please comment or provide details below to improve the information on BARTLETT REGIONAL HOSPITAL.
| 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.