Southcentral Foundation

NPI #1184678559 in Anchorage, Alaska

Provider Information

NPI Number
1184678559
Entity Type
Organization
Organization Name
Southcentral Foundation
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTHCENTRAL FOUNDATION
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
May 20, 2006
Last Updated
Apr 19, 2024

Practice Location

Address
4130 SAN ERNESTO AVE
State
Alaska
ZIP Code
99508-2875
Phone
(907) 729-5070

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty
Clinic/Center - Primary CarePrimary Care

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