Organization · Type 2 NPI

Southcentral Foundation

Chiropractor · Wasilla, AK

NPI number 1750889234 Active

Practice location

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

Call (907) 631-7630 Map

Mailing address

PO Box 35198
Seattle, WA 98124-5198

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	None listed
Registered Dietitian	133V00000X	None listed

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

107 other providers at this address

Other chiropractor providers in Wasilla

See all in Wasilla →

NPI record

NPI: 1750889234
Entity type: Organization (Type 2)
Issued: Jan 30, 2018
Last updated: Jun 5, 2026
Status: Active
Subpart: Yes of Southcentral Foundation

Other names

<unavail>
Hpg- Bnpcc Wellness Center (bnpcc Comp Med) · doing business as
Hpg- Vnpcc Wellness Center (valley Comp Med) · 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 1750889234

Southcentral Foundation's National Provider Identifier is 1750889234, issued on Jan 30, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Wasilla, AK. The record was last updated on Jun 5, 2026.