SOUTHCENTRAL FOUNDATION MEDICAL CENTER NPI 1659580967

NPI Information

NPI: 1659580967
Provider Name: SOUTHCENTRAL FOUNDATION MEDICAL CENTER
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
4155 TUDOR CENTRE DR STE 103
ATTN SHERRY REEDY
ANCHORAGE, AK
ZIP 99508
Phone: (907) 729-3971
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SOUTHCENTRAL FOUNDATION MEDICAL CENTER is a durable medical equipment medical supplies in Anchorage, AK. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SOUTHCENTRAL FOUNDATION MEDICAL CENTER NPI is 1659580967. The provider is registered as an organization entity type.

The provider's business location address is:

4155 TUDOR CENTRE DR STE 103
ATTN SHERRY REEDY
ANCHORAGE, AK
ZIP 99508-912
Phone: (907) 729-3971
Fax: (907) 729-1572

The provider's authorized official is Paul Sherry .
The authorized official title is Ceo and has the following contact phone number (907) 729-1905.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.

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	332B00000X	Durable Medical Equipment & Medical Supplies		20467	ALASKA	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	MS4320	MEDICAID	ALASKA

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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