SOUTHCENTRAL FOUNDATION NPI 1386680056

NPI Information

NPI: 1386680056
Provider Name: SOUTHCENTRAL FOUNDATION

Doing Business As: BENTEH NUUTAH VALLEY NATIVE PRIMARY CARE CENTER

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1001 S KNIK GOOSE BAY RD
WASILLA, AK
ZIP 99654
Phone: (907) 631-7800
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SOUTHCENTRAL FOUNDATION is a multi-specialty clinic center in Wasilla, AK. SOUTHCENTRAL FOUNDATION NPI is 1386680056. The provider is registered as an organization entity type.
The provider Is Doing Business As Benteh Nuutah Valley Native Primary Care Center.

The provider's business location address is:

1001 S KNIK GOOSE BAY RD
WASILLA, AK
ZIP 99654-083
Phone: (907) 631-7800

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 6/21/2006 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	261QP2300X	Clinic/Center	Primary Care	20467	ALASKA	No
2	261QM1300X	Clinic/Center	Multi-Specialty	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

NPI Synchronization or Removal

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