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SOUTHCENTRAL FOUNDATION NPI 1710293006


NPI Information

NPI: 1710293006
Provider Name: SOUTHCENTRAL FOUNDATION

Doing Business As: HPG - PHYSICIAN HOME VISIT

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4501 DIPLOMACY DR
ANCHORAGE, AK
ZIP 99508
Phone: (907) 729-4955
Get Directions

SOUTHCENTRAL FOUNDATION is a general practice in Anchorage, AK. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SOUTHCENTRAL FOUNDATION NPI is 1710293006. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hpg - Physician Home Visit.

The provider's business location address is:

4501 DIPLOMACY DR
ANCHORAGE, AK
ZIP 99508-919
Phone: (907) 729-4955

The provider's authorized official is Ronald Lee Olson .
The authorized official title is Executive Vice President Finance and has the following contact phone number (907) 729-4939.

The enumeration date for this NPI number is 8/24/2010 and was last updated on 9/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice20467ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11701244MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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