SOUTHCENTRAL FOUNDATION NPI 1144274986

NPI Information

NPI: 1144274986
Provider Name: SOUTHCENTRAL FOUNDATION

Doing Business As: QUYANA CLUB HOUSE MENTAL HEALTH CLINIC

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
225 EAGLE ST
ANCHORAGE, AK
ZIP 99501
Phone: (907) 729-6550
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SOUTHCENTRAL FOUNDATION is a rehabilitation clinic center in Anchorage, AK. SOUTHCENTRAL FOUNDATION NPI is 1144274986. The provider is registered as an organization entity type.
The provider Is Doing Business As Quyana Club House Mental Health Clinic.

The provider's business location address is:

225 EAGLE ST
ANCHORAGE, AK
ZIP 99501-626
Phone: (907) 729-6550

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

The enumeration date for this NPI number is 5/19/2006 and was last updated on 3/15/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation	20467	ALASKA	Yes

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

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