Organization · Type 2 NPI
Southeast Alaska Regional Health Consortium
Clinic/Center · Excursion Inlet, AK
Practice location
Cannery Site
Excursion Inlet, AK 99850
Mailing address
3100 Channel Drive Ste 300, Attn: Provider Enrollment
Juneau, AK 99801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
| Federally Qualified Health Center (FQHC) | 261QF0400X | None listed |
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).
About NPI 1063958452
Southeast Alaska Regional Health Consortium's National Provider Identifier is 1063958452, issued on Jan 10, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Excursion Inlet, AK. The record was last updated on Dec 29, 2020.