Organization · Type 2 NPI
South East Alaska Regional Health Consortium
Clinic/Center · Kake, AK
NPI number
1114973849
Active
Practice location
105 Totem Way
Kake, AK 99830
Mailing address
3100 Channel Dr, Ste 300
Juneau, AK 99801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 70206 (AK) |
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).
4 other providers at this address
- Southeast Alaska Regional Health ConsortiumCommunity/Behavioral Health Agency Kake, AK NPI 1972134864
- Antonio Lee AbbottBehavior Technician Kake, AK NPI 1558918631
- Brent Michael Dreier, APRNFamily Nurse Practitioner Kake, AK NPI 1447078092
- Donna L. Millan, FNPFamily Nurse Practitioner Kake, AK NPI 1780954214
About NPI 1114973849
South East Alaska Regional Health Consortium's National Provider Identifier is 1114973849, issued on May 25, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Kake, AK. The record was last updated on May 25, 2017.