Organization · Type 2 NPI

Southcentral Foundation

Multi-Specialty Clinic/Center · Wasilla, AK

NPI number 1386680056 Active

Practice location

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083

Mailing address

PO Box 35198
Seattle, WA 98124-5198

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300X20467 (AK)
Primary Care Clinic/Center 261QP2300X20467 (AK)

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

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About NPI 1386680056

Southcentral Foundation's National Provider Identifier is 1386680056, issued on Jun 21, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Wasilla, AK. The record was last updated on Jun 5, 2026.