1115 Sud Waiver

LBN: Bartlett Regional Hospital
1115 Sud Waiver is an health care organization with primary practice located at 3250 Hospital Dr , Juneau AK 99801-7808. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Agencies / Community/Behavioral Health is the primary health care specialty. Bartlett Regional Hospital can be contacted via phone (907) 796-8690, or through Wanner, Joseph via phone (907) 796-8900.

Contact Information

Primary practice address
3250 Hospital Dr Juneau AK 99801-7808
Phone: (907) 796-8690
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wanner, Joseph
Phone: (907) 796-8900

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1598397911
LBN Legal business name Bartlett Regional Hospital
DBA Doing business as 1115 Sud Waiver
Authorized official Wanner, Joseph
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 5th, 2020
Last updated Nov 21st, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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