PETERSBURG CLINIC
NPI 1447438502
Clinic/Center in Petersburg, AK

Active since January 31, 2008
202 GJOA ST, PETERSBURG, AK 99833(907) 772-4963(907) 772-4964 Get Directions Write a Review

NPPES record last updated: May 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Petersburg Clinic NPPES

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

PETERSBURG CLINIC (NPI 1447438502) is a healthcare organization registered as a clinic/center in Petersburg, Alaska and active in the NPI registry since January 2008. The organization lists Daniel Neumeister, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1447438502
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
Location Address202 GJOA STPetersburg, AK 99833
Mailing Address3100 Channel Dr Ste 300Juneau, AK 99801-7837 · (907) 463-4074 · Fax (907) 463-1510
Fax(907) 772-4964
Organization SubpartNo
Authorized OfficialDaniel NeumeisterChief Operating Officer · (907) 463-4000
Enumeration DateJanuary 31, 2008
Last NPPES UpdateMay 25, 2017
NPI 1447438502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in AK · 70602
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).
202 GJOA ST, Petersburg, AK 99833

Other Names 1

Doing Business AsPetersburg Clinic

Other Identifiers 1

MedicaidMDG633AK

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 1447438502. It was assigned to this organization in the NPPES registry on January 31, 2008. The provider is doing business as Petersburg Clinic.

Where is South East Alaska Regional Health Consortium located?

South East Alaska Regional Health Consortium is located at 202 Gjoa St, Petersburg, AK 99833. The listed phone number is (907) 772-4963.

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

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

When was this NPI record last updated?

The NPPES record for South East Alaska Regional Health Consortium was last updated on May 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.