Southcentral Foundation

NPI #1124666730 in Anchorage, Alaska

Provider Information

NPI Number
1124666730
Entity Type
Organization
Organization Name
Southcentral Foundation
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTHCENTRAL FOUNDATION
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Dec 13, 2019
Last Updated
Aug 31, 2023

Practice Location

Address
4441 DIPLOMACY DR
State
Alaska
ZIP Code
99508-5910
Phone
(907) 729-3100

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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