ALICIA ROBERTS MEDICAL CENTER
NPI 1215913801
Clinic/Center in Klawock, AK

Active since December 16, 2005CLIA 02D1015821 · Accreditation
7300 KLAWOCK-HOLLIS HWY, KLAWOCK, AK 99925(907) 755-4800 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 18, 2019, May 25, 2017 (2 updates tracked since 2017).

About Alicia Roberts Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICIA ROBERTS MEDICAL CENTER (NPI 1215913801) is a healthcare organization registered as a clinic/center in Klawock, Alaska and active in the NPI registry since December 2005. The organization holds an CLIA Accreditation certificate valid through July 21, 2028, maintains a secondary practice location in Klawock, and lists Daniel Harris, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1215913801
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
Location Address7300 KLAWOCK-HOLLIS HWYKlawock, AK 99925-0069
Mailing Address3100 Channel Drive, Ste 300Juneau, AK 99801 · (907) 463-4074 · Fax (907) 463-1510
Organization SubpartNo
Authorized OfficialDaniel HarrisChief Financial Officer · (907) 463-4000
Enumeration DateDecember 16, 2005
Last NPPES UpdateJuly 18, 20192 updates tracked since enumeration
✔ NPI 1215913801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in AK · 70206
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
7300 KLAWOCK-HOLLIS HWY, Klawock, AK 99925

Other Names 1

Doing Business AsAlicia Roberts Medical Center

Secondary Practice Location 1

Location 113004 Klawock Hollis HighwayKlawock, AK 99925 · Phone (907) 755-4800 · Fax (907) 755-4806

Other Identifiers 4

MedicaidMDG632AK
MedicaidMDG631AK
MedicaidCL2276AK
MedicaidDDG225AK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia Roberts Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

638

Medicare enrollment records show 638 clinicians reassign Medicare billing to Alicia Roberts Medical Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 35

Nurse Practitioner150
Family Practice103
Diagnostic Radiology83
Clinical Social Worker28
General Surgery23
Certified Registered Nurse Anesthetist (CRNA)21
Internal Medicine20
Mental Health Counselor19
27 other specialties191

Nearest to this location (20)

See all 638
Family Practice
NPI 1730675828
7300 KLAWOCK HOLLIS HIGHWAY
Klawock, AK 99925
(907) 523-4300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801486410
7300 KLAWOCK HOLLIS HIGHWAY ALICIA ROBERTS MEDICAL CENTER
Klawock, AK 99925
(907) 755-4929
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1386901833
7300 KLAWOCK HOLLIS HWY
Klawock, AK 99925
(907) 523-4386
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1356948459
7300 KLAWOCK HOLLIS HWY A
Klawock, AK 99925
(907) 755-4800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073579678
1800 CRAIG-KLAWOCK HIGHWAY
Craig, AK 99921
(907) 826-3257
✔ PECOS5.0 mi
Optometry
NPI 1477556488
333 COLD STORAGE ROAD
Craig, AK 99921
(907) 755-4967
✔ PECOS✔ Accepts Medicare5.5 mi
General Surgery
NPI 1548200504
7559 N TONGASS HWY
Ketchikan, AK 99901
(907) 228-0185
✔ PECOS✔ Accepts Medicare54 mi
Nurse Practitioner
NPI 1669707584
3528 TONGASS AVE
Ketchikan, AK 99901
(907) 220-4447
✔ PECOS✔ Accepts Medicare57 mi
Nurse Practitioner
NPI 1457649998
3528 TONGASS AVE
Ketchikan, AK 99901
(907) 220-4447
✔ PECOS57 mi
Nurse Practitioner
NPI 1013775410
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 228-8300
✔ PECOS✔ Accepts Medicare57 mi
Internal Medicine
NPI 1922205582
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 228-8140
✔ PECOS57 mi
Clinical Social Worker
NPI 1285316612
3050 FIFTH AVE
Ketchikan, AK 99901
(907) 225-4135
✔ PECOS✔ Accepts Medicare57 mi
Clinical Social Worker
NPI 1558141069
2524 FIRST AVE
Ketchikan, AK 99901
(907) 202-8752
✔ PECOS57 mi
Obstetrics/Gynecology
NPI 1861618704
25 JEFFERSON WAY STE 101
Ketchikan, AK 99901
(907) 247-9999
✔ PECOS✔ Accepts Medicare57 mi
Internal Medicine
NPI 1952621468
2.6 MILE ZIMOVIA HWY
Wrangell, AK 99929
(360) 217-9392
✔ PECOS✔ Accepts Medicare68 mi
Registered Dietitian or Nutrition Professional
NPI 1366325425
232 WOOD STREET
Wrangell, AK 99929
(701) 730-5271
✔ Accepts Medicare69 mi
Mental Health Counselor
NPI 1053071837
113 LYNCH ST.
Wrangell, AK 99929
(907) 874-5012
✔ PECOS✔ Accepts Medicare69 mi
Mental Health Counselor
NPI 1386201135
110 LYNCH ST
Wrangell, AK 99929
(907) 874-5008
✔ PECOS✔ Accepts Medicare69 mi
Family Practice
NPI 1720144520
320 BENNETT ST
Wrangell, AK 99929
(907) 874-4700
✔ PECOS✔ Accepts Medicare69 mi
Family Practice
NPI 1942237441
103 FRAM STREET
Petersburg, AK 99833
(907) 772-4299
✔ PECOS87 mi
See all 638 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 02D1015821

Alicia Roberts Medical Center · Klawock, AK
Active · expires Jul 21, 2028
CLIA Number02D1015821
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorMs. Constance Stager
Laboratory Phone(907) 755-4800
Laboratory LocationAlicia Roberts Medical Center7300 A Klawock-Hollis Hwy, Klawock, AK 99925
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South East Alaska Regional Health Consortium's NPI number?

The NPI number for South East Alaska Regional Health Consortium is 1215913801. It was assigned to this organization in the NPPES registry on December 16, 2005. The provider is doing business as Alicia Roberts Medical Center.

Where is South East Alaska Regional Health Consortium located?

South East Alaska Regional Health Consortium is located at 7300 Klawock-Hollis Hwy, Klawock, AK 99925. The listed phone number is (907) 755-4800.

What is South East Alaska Regional Health Consortium's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is South East Alaska Regional Health Consortium enrolled in Medicare?

Yes. South East Alaska Regional Health Consortium is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South East Alaska Regional Health Consortium?

According to the CMS Revalidation Reassignment List (October 2026 release), 638 clinicians in 35 Medicare specialties reassign their Medicare billing to South East Alaska Regional Health Consortium. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (150), Family Practice (103) and Diagnostic Radiology (83). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South East Alaska Regional Health Consortium hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 02D1015821) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South East Alaska Regional Health Consortium accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list South East Alaska Regional Health Consortium as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South East Alaska Regional Health Consortium was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.