Provider Demographics
NPI:1073598306
Name:SOUTH EAST ALASKA REGIONAL HEALTH CONSOTIUM - DRUG AND ALCOHOL
Entity Type:Organization
Organization Name:SOUTH EAST ALASKA REGIONAL HEALTH CONSOTIUM - DRUG AND ALCOHOL
Other - Org Name:SEARHC
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEARLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-463-4061
Mailing Address - Street 1:222 TONGASS DR
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-9416
Mailing Address - Country:US
Mailing Address - Phone:907-966-2411
Mailing Address - Fax:907-966-8606
Practice Address - Street 1:222 TONGASS DR
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-9416
Practice Address - Country:US
Practice Address - Phone:907-966-2411
Practice Address - Fax:907-966-8606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-09
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK70206261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKDA7361Medicaid
AKTEZ065Medicare PIN
AKTEZ064Medicare PIN
AKDA7361Medicaid
AKTEZ067Medicare PIN
AKTEZ066Medicare PIN
AKTEZ063Medicare PIN