Southcentral Foundation

NPI #1457196685 in Wasilla, Alaska

Provider Information

NPI Number
1457196685
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
Jun 28, 2024
Last Updated
Sep 9, 2025

Practice Location

Address
3505 E MERIDIAN PARK LOOP STE 220
State
Alaska
ZIP Code
99654-7242
Phone
(907) 729-8901

Authorized Official

Name
RONALD LEE OLSON
Title
EXECUTIVE VICE PRESIDENT FINANCE
Phone
(701) 729-4939

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

Additional Practice Locations

4320 Diplomacy Dr Ste 2300

Anchorage, AK, 99508-5925

(907) 729-9989

1717 W Cowles St

Fairbanks, AK, 99701-3975

(907) 729-9989

1659 Cowles St

Ste 338

Fairbanks, AK, 99701-5924

(907) 729-8901

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