Searhc Aics Coffman Cove

LBN: Southeast Alaska Regional Health Consortium
Searhc Aics Coffman Cove is an health care organization with primary practice located at 105 Nw Kodiak Dr , Coffman Cove AK 99918. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Southeast Alaska Regional Health Consortium can be contacted via phone (907) 874-4700, or through Harris, Daniel via phone (907) 463-4000.

Contact Information

Primary practice address
105 Nw Kodiak Dr Coffman Cove AK 99918
Fax: (907) 874-4719
Website:
Authorized official contact:
Name: Harris, Daniel

Profile Details

NPI number 1932645512
LBN Legal business name Southeast Alaska Regional Health Consortium
DBA Doing business as Searhc Aics Coffman Cove
Authorized official Harris, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2017
Last updated Dec 29th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932645512 NPPES
Alaska MEDICAID 1663061
Alaska Other 70206

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