Southcentral Foundation

NPI #1972106524 in Anchorage, Alaska

Provider Information

NPI Number: 1972106524
Entity Type: Organization
Organization Name: Southcentral Foundation
Primary Specialty: Community/Behavioral Health
Enumeration Date: Nov 17, 2020
Last Updated: Nov 17, 2020

Practice Location

Address: 4353 RENDEZVOUS CIR
City: Anchorage
State: Alaska
ZIP Code: 99504-4219
Phone: (907) 729-5273

Authorized Official

Name: RONALD LEE OLSON
Title: MANAGER OF REVENUE CYCLE
Phone: (701) 729-4939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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