SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM – NPI #1932645512
Clinic/Center

SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM is an AHC clinic located in COFFMAN COVE, AK. NPPES has assigned the NPI number 1932645512 to SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM on January 06, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM is also known by the name SEARHC AICS COFFMAN COVE. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 5 years ago on Dec 29, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM below.

NPI Profile for
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM

NPI Number
1932645512
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Other Name: SEARHC AICS COFFMAN COVE
Other name(s)
All associated names:
Other Name
SEARHC AICS COFFMAN COVE
Doing Business As (dba)
SEARHC COFFMAN COVE CLINIC
Primary location
105 NW KODIAK DR
COFFMAN COVE, AK 99918
Phone: (907) 874-4700 Fax: (907) 874-4719
Mailing address
3100 CHANNEL DRIVE STE 300
ATTN: PROVIDER ENROLLMENT
JUNEAU, AK 99801
Phone: (907) 463-4000 Fax: (907) 463-1510
Organization Subpart
No
Authorized Official
DANIEL HARRIS
VP/CHIEF FINANCIAL OFFICER
Phone: (907) 463-4000
Updated
Certification Date
Dec 29, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBUSINESS LICENSEAK70206
MEDICAIDAK1663061
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
261Q00000X
- Clinic/Center

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.