SOUTHEAST PHYSICIANS SERVICES – NPI #1154331734
Clinic/Center

SOUTHEAST PHYSICIANS SERVICES is an AHC clinic located in JUNEAU, AK. NPPES has assigned the NPI number 1154331734 to SOUTHEAST PHYSICIANS SERVICES on August 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHEAST PHYSICIANS SERVICES” is a dba name, the actual legal business name for this organization is BARTLETT REGIONAL HOSPITAL. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 3 years ago on Nov 21, 2023. 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 PHYSICIANS SERVICES below.

NPI Profile for
BARTLETT REGIONAL HOSPITAL

NPI Number
1154331734
Enumeration Date

(about 20 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
BARTLETT REGIONAL HOSPITAL
Doing Business As (dba): SOUTHEAST PHYSICIANS SERVICES
Primary location
3240 HOSPITAL DR
JUNEAU, AK 99801-7808
Phone: (907) 796-8212 Fax:
1 Other location(s):
3260 Hospital Dr
Juneau, AK 99801
Phone: (907) 796-8632
Fax: (907) 796-8455
Mailing address
3260 HOSPITAL DR
JUNEAU, AK 99801
Phone: (907) 796-8632 Fax: (907) 796-8455
Organization Subpart
No
Authorized Official
JOSEPH WANNER
CHIEF FINANCIAL OFFICER
Phone: (907) 796-8900
Updated
Certification Date
Nov 21, 2023

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 PHYSICIANS SERVICES

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
medicaidAK1020554
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
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

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.