Provider Type Icon

SOUTHCENTRAL FOUNDATION NPI 1124666730


NPI Information

NPI: 1124666730
Provider Name: SOUTHCENTRAL FOUNDATION
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
4441 DIPLOMACY DR
ANCHORAGE, AK
ZIP 99508
Phone: (907) 729-5418
Get Directions

SOUTHCENTRAL FOUNDATION is a multi-specialty clinic center in Anchorage, AK. SOUTHCENTRAL FOUNDATION NPI is 1124666730. The provider is registered as an organization entity type.

The provider's business location address is:

4441 DIPLOMACY DR
ANCHORAGE, AK
ZIP 99508-910
Phone: (907) 729-5418
Fax: (907) 729-8607

The provider's authorized official is Ronald Lee Olson .
The authorized official title is Vp Of Finance and has the following contact phone number (701) 729-4939.

The enumeration date for this NPI number is 12/13/2019 and was last updated on 12/13/2019.


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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 11/14/2023

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.