Organization · Type 2 NPI
Southcentral Foundation
Community Health Clinic/Center · Newhalen, AK
NPI number
1295104644
Active
Practice location
102 Fireweed Lane
Newhalen, AK 99606
Fax (907) 571-1551
Mailing address
4501 Diplomacy Dr, Attn: Finance/provider Enrollment
Anchorage, AK 99508-5919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | 20467 (AK) |
Community Health Clinic/Center: Definition to come...
Another provider at this address
About NPI 1295104644
Southcentral Foundation's National Provider Identifier is 1295104644, issued on Sep 16, 2015. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Newhalen, AK. The record was last updated on Sep 16, 2015.