Organization · Type 2 NPI

Southcentral Foundation

Multi-Specialty Clinic/Center · Anchorage, AK

NPI number 1043982671 Active

Practice location

3000 C St Ste 102
Anchorage, AK 99503-3975

Call (907) 729-8558 Map

Mailing address

PO Box 35198
Seattle, WA 98124-5198

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

4 other providers at this address

Antoinette Grace Sullivan, LMSWCommunity Health Worker Anchorage, AK NPI 1427889021
Mary WoodCommunity Health Worker Anchorage, AK NPI 1750113510
Rhiannon Norton-Davis, BHCMCase Manager/Care Coordinator Anchorage, AK NPI 1255139226
Tiara Danin McDougal, MSWClinical Social Worker Anchorage, AK NPI 1043948276

Other multi-specialty clinic/center providers in Anchorage

See all in Anchorage →

NPI record

NPI: 1043982671
Entity type: Organization (Type 2)
Issued: Oct 1, 2021
Last updated: Sep 19, 2023
Status: Active
Subpart: Yes of Southcentral Foundation

Other names

<unavail>
BH 1115-Child & Family Outpatient Services (west) · doing business as
Tribal- Child & Family Outpatient Services(west) · doing business as

Authorized official

Ronald Lee Olson
Executive Vice President Finance
(907) 729-4939

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1043982671

Southcentral Foundation's National Provider Identifier is 1043982671, issued on Oct 1, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Anchorage, AK. The record was last updated on Sep 19, 2023.