Southcentral Foundation

NPI #1023611290 in Anchorage, Alaska

Provider Information

NPI Number: 1023611290
Entity Type: Organization
Organization Name: Southcentral Foundation
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHCENTRAL FOUNDATION
Primary Specialty: Community/Behavioral Health
Enumeration Date: Nov 19, 2020
Last Updated: Aug 30, 2023

Practice Location

Address: 4000 SAN ERNESTO AVE
City: Anchorage
State: Alaska
ZIP Code: 99508-2874
Phone: (907) 729-5020

Authorized Official

Name: RONALD LEE OLSON
Title: EXECUTIVE VICE PRESIDENT OF FINANCE
Phone: (907) 729-4939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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