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SOUTHCENTRAL FOUNDATION NPI 1033712278


NPI Information

NPI: 1033712278
Provider Name: SOUTHCENTRAL FOUNDATION

Doing Business As: MCGRATH REGIONAL HEALTH CENTER

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 02D0641829

Address:
10 DNR RD
MCGRATH, AK
ZIP 99627
Phone: (907) 729-4987
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SOUTHCENTRAL FOUNDATION is a community behavioral health in Mcgrath, AK. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SOUTHCENTRAL FOUNDATION NPI is 1033712278. The provider is registered as an organization entity type.
The provider Is Doing Business As Mcgrath Regional Health Center.

The provider's business location address is:

10 DNR RD
MCGRATH, AK
ZIP 99627
Phone: (907) 729-4987
Fax: (907) 729-8607

The provider's authorized official is Jona Tetzloff .
The authorized official title is Manager Of Revenue Cycle and has the following contact phone number (907) 729-5083.

The CLIA number assigned to this NPI record is 02D0641829 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/19/2020 and was last updated on 11/20/2023.


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
1261QR1300XClinic/CenterRural HealthNo
2261QS1000XClinic/CenterStudent HealthNo
3251S00000XCommunity/Behavioral HealthYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.