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SOUTHCENTRAL FOUNDATION NPI 1487608659


NPI Information

NPI: 1487608659
Provider Name: SOUTHCENTRAL FOUNDATION

Doing Business As: FOUR DIRECTIONS OUTPATIENT TREATMENT CENTER

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4000 LAUREL ST
ANCHORAGE, AK
ZIP 99508
Phone: (907) 729-6300
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SOUTHCENTRAL FOUNDATION is a mental health (including community mental health center) clinic center in Anchorage, AK. SOUTHCENTRAL FOUNDATION NPI is 1487608659. The provider is registered as an organization entity type.
The provider Is Doing Business As Four Directions Outpatient Treatment Center.

The provider's business location address is:

4000 LAUREL ST
ANCHORAGE, AK
ZIP 99508-333
Phone: (907) 729-6300
Fax: (907) 729-6314

The provider's authorized official is Christine Bragg .
The authorized official title is Revenue Cycle Consultant and has the following contact phone number (907) 729-6377.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 10/16/2018.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1TEZ145OTHERALASKAMEDICARE

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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