SOUTHCENTRAL FOUNDATION NPI 1184678559

NPI Information

NPI: 1184678559
Provider Name: SOUTHCENTRAL FOUNDATION

Doing Business As: DENA A COY (RESIDENTIAL)

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

Specialization: Rehabilitation

Address:
4130 SAN ERNESTO AVE
ANCHORAGE, AK
ZIP 99508
Phone: (907) 729-4955
Get Directions

SOUTHCENTRAL FOUNDATION is a rehabilitation clinic center in Anchorage, AK. SOUTHCENTRAL FOUNDATION NPI is 1184678559. The provider is registered as an organization entity type.
The provider Is Doing Business As Dena A Coy (residential).

The provider's business location address is:

4130 SAN ERNESTO AVE
ANCHORAGE, AK
ZIP 99508-875
Phone: (907) 729-4955

The provider's authorized official is David Morgan .
The authorized official title is Director Of Reimbursement and has the following contact phone number (907) 729-4955.

The CLIA number assigned to this NPI record is 02D1031480 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/20/2006 and was last updated on 12/15/2010.

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			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	TEZ161	MEDICARE PIN	ALASKA
2	TEZ124	MEDICARE PIN

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

NPI Synchronization or Removal

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