Provider Demographics
NPI:1912393356
Name:JUNEAU EMERGENCY MEDICAL ASSOCIATES, INC.
Entity type:Organization
Organization Name:JUNEAU EMERGENCY MEDICAL ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NELEA
Authorized Official - Middle Name:
Authorized Official - Last Name:FENUMIAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-957-0313
Mailing Address - Street 1:PO BOX 3507
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-3507
Mailing Address - Country:US
Mailing Address - Phone:907-957-0313
Mailing Address - Fax:
Practice Address - Street 1:3260 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-7808
Practice Address - Country:US
Practice Address - Phone:877-346-2211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-13
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty