Southcentral Foundation

NPI #1366615114 in Mcgrath, Alaska

Provider Information

NPI Number: 1366615114
Entity Type: Organization
Organization Name: Southcentral Foundation
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHCENTRAL FOUNDATION
Primary Specialty: Family Medicine
Enumeration Date: Apr 11, 2008
Last Updated: Feb 4, 2016

Practice Location

Address: 10 DNR ROAD
City: Mcgrath
State: Alaska
ZIP Code: 99627
Phone: (907) 524-3299

Authorized Official

Name: RONALD LEE OLSON
Title: VP FINANCE
Phone: (907) 729-4939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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