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Southcentral Foundation — NPI 1043689169, Kokhanok, AK | NPI Central

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NPI 1043689169

OrganizationActive

Southcentral Foundation

NPI 1043689169 · Community Health Clinic/Center · Kokhanok, AK

Provider details

NPI number: 1043689169
Entity type: Organization
Primary specialty: Community Health Clinic/CenterAmbulatory Health Care Facilities
Parent organization: Southcentral Foundation
Organization subpart: Yes
Authorized official: Ronald Olson, Executive Vice President of Finance(907) 729-4939
License: 20467 (AK)

Specialties & taxonomies

Community Health Clinic/CenterPrimary261QC1500XLicense 20467 (AK)
Ambulatory Health Care Facilities

Practice location

1008 Main Street

Kokhanok, AK 99606

Phone: (907) 282-2203

Approximate (ZIP-level) locationGet directions

More AK providers

Mailing address

Po Box 35198

Seattle, WA 98124-5198

Other names (DBA / former)

Doing business as: Tribal- Kokhanok Community Health Clinic

Registry dates

Enumerated: 2015-09-18
Last updated: 2023-08-30
Certified: 2023-08-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.