Organization · Type 2 NPI

Southcentral Foundation

Multi-Specialty Clinic/Center · Anchorage, AK

NPI number 1689021776 Active

Practice location

755 A St
Anchorage, AK 99501-3625

Call (907) 272-1255 Map

Mailing address

PO Box 35198
Seattle, WA 98124-5198

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	20467 (AK)

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

3 other providers at this address

Volunteers of America Alaska, CovCommunity/Behavioral Health Agency Anchorage, AK NPI 1043855828
Ann Conducy, LPCMental Health Counselor Anchorage, AK NPI 1144681750
Kimberly S. Dahm, PA-CPhysician Assistant Anchorage, AK NPI 1316341142

Other multi-specialty clinic/center providers in Anchorage

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NPI record

NPI: 1689021776
Entity type: Organization (Type 2)
Issued: May 18, 2016
Last updated: Sep 14, 2023
Status: Active
Subpart: Yes of Southcentral Foundation

Other names

<unavail>
Tribal- the Covenant House · 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.

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About NPI 1689021776

Southcentral Foundation's National Provider Identifier is 1689021776, issued on May 18, 2016. 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 14, 2023.