SOUTHCENTRAL FOUNDATION NPI 1477377661

NPI Information

  • NPI: 1477377661
  • Provider Name: SOUTHCENTRAL FOUNDATION
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Doing Business As: CHITINA CLINIC - SCF PRIMARY CARE
  • CLIA Number: 02D0923971
  • Address: MILE 28.5 EDGERTON HWY
    CHITINA, AK
    ZIP 99566
  • Phone: (907) 823-2215

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NPI Details

SOUTHCENTRAL FOUNDATION is a community health clinic center in Chitina, AK. SOUTHCENTRAL FOUNDATION NPI is 1477377661. The provider is registered as an organization entity type.
The provider Is Doing Business As Chitina Clinic - Scf Primary Care.

The provider's business location address is:

MILE 28.5 EDGERTON HWY
CHITINA, AK
ZIP 99566
Phone: (907) 823-2215

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

The CLIA number assigned to this NPI record is 02D0923971 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2024 and was last updated on 11/18/2024.

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
1261QC1500XClinic/CenterCommunity 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: 11/21/2025

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