SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM (NPI# 1881730802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881730802 |
| Entity Type | Organization |
| Organization Name | SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM |
| Practice Address |
3245 Hospital Dr Juneau AK 99801-7809 |
| Practice Telephone | 9074634041 |
| Practice Fax Number | 9074634032 |
| Mailing Telephone | 9074634041 |
| Mailing Fax Number | 9074634032 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NELDA P DODGE (DIRECTOR OF CBO) |
| Authorized Official Telephone | 9079668579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
70206 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DDG223 | 05 |
| 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 |
| 1447438502 | South East Alaska Regional Health Consortium | Clinic/Center | 202 Gjoa St, Petersburg, AK 99833 | 2008-01-31 |
| 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 |
| Street Address |
3245 HOSPITAL DR |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-7809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167044 | Timothy H Strand | Optometrist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2005-07-08 |
| 1770105579 | Dillon J Covey | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2020-05-14 |
| 1114552304 | Rachel Noelani Jahraus | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2020-03-08 |
| 1134782550 | Danna Madeline Lehneis | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2019-04-22 |
| 1346703501 | Rhett Allen Berg | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2019-04-12 |
| 1366936304 | Kaela Burke | Community Health Worker | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2018-06-21 |
| 1346781291 | Rochell Burke | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2017-03-12 |
| 1083153134 | Kristin Johanson | Community Health Worker | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2017-02-21 |
| 1760840110 | Kelly O'shaughnessy | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2016-01-31 |
| 1871950386 | Sarah Frampton | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2016-01-28 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610365 | Mark S. Riederer D.d.s. LLC. | Dentist | 9309 Glacier Hwy Ste A101, Juneau, AK 99801-7018 | 2016-03-04 |
| 1952612186 | Mindy Jo Shaw | Dentist | 2247 Jordan Ave, Juneau, AK 99801-8050 | 2010-06-22 |
| 1437281094 | Douglas S Weaver Dds Apc | Dentist | 326 4th St Ste 205, Juneau, AK 99801-1167 | 2007-03-09 |
| 1982789566 | Gary A Moeller | Dentist | 2247 North Jordan Ave, Juneau, AK 99801 | 2006-10-25 |
| 1457449373 | Anthony Francis Nizich | Dentist | 2219 Jordan Ave, Juneau, AK 99801-8050 | 2006-10-10 |
| 1184630139 | John K Laskey | Dentist | 641 W Willoughby Ave, Ste. 204, Juneau, AK 99801-1731 | 2006-07-31 |
| 1366465882 | Mark S. Riederer | Dentist | 9309 Glacier Hwy, B-105, Juneau, AK 99801-9306 | 2006-07-25 |
| 1447226360 | Douglas S Weaver | Dentist | 326 4th St, Ste 205, Juneau, AK 99801-1146 | 2006-02-28 |
| 1457349326 | Benjamin R. Gilbert | Dentist | 418 4th St, Juneau, AK 99801-1004 | 2005-10-13 |
| 1003813734 | Lonnie Arthur Anderson | Dentist | 9211 Lee Smith Drive, Juneau, AK 99801 | 2005-07-07 |
| Find all providers in JUNEAU | ||||
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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.