What is Southcentral Foundation's NPI number?

Southcentral Foundation's National Provider Identifier (NPI) is 1114480167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Southcentral Foundation?

Southcentral Foundation is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).

Where is Southcentral Foundation located?

Southcentral Foundation's practice location on file with NPPES is 1 Flight Line Rd, Port Alsworth, AK 99653-9801.

What is Southcentral Foundation's phone number?

The practice phone number listed in the NPPES registry for Southcentral Foundation is (907) 781-2256.

Who is the authorized official for Southcentral Foundation?

The authorized official listed on Southcentral Foundation's NPPES record is Ronald Olson, Executive Vice President Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Southcentral Foundation's NPI active?

Yes — Southcentral Foundation's NPI (1114480167) is active in the NPPES registry as of the last update on 2023-08-31.

OrganizationActive

Southcentral Foundation

NPI 1114480167 · Dental Clinic/Center · Port Alsworth, AK

Southcentral Foundation is a Dental Clinic/Center organization in Port Alsworth, AK (NPI 1114480167).

Provider details

NPI number: 1114480167
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Parent organization: Southcentral Foundation
Organization subpart: Yes
Authorized official: Ronald Olson, Executive Vice President Finance(907) 729-4939

Practice location

1 Flight Line Rd

Port Alsworth, AK 99653-9801

Phone: (907) 781-2256

Approximate (ZIP-level) locationGet directions

More AK providers

Mailing address

Po Box 35151

Seattle, WA 98124-5151

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Other names (DBA / former)

Doing business as: Dental- Port Alsworth Clinic

Profile Score

Established profile(67/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2019-04-08
Last updated: 2023-08-31
Certified: 2023-08-31

Frequently asked questions

What is Southcentral Foundation's NPI number?: Southcentral Foundation's National Provider Identifier (NPI) is 1114480167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Southcentral Foundation?: Southcentral Foundation is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
Where is Southcentral Foundation located?: Southcentral Foundation's practice location on file with NPPES is 1 Flight Line Rd, Port Alsworth, AK 99653-9801.
What is Southcentral Foundation's phone number?: The practice phone number listed in the NPPES registry for Southcentral Foundation is (907) 781-2256.
Who is the authorized official for Southcentral Foundation?: The authorized official listed on Southcentral Foundation's NPPES record is Ronald Olson, Executive Vice President Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Southcentral Foundation's NPI active?: Yes — Southcentral Foundation's NPI (1114480167) is active in the NPPES registry as of the last update on 2023-08-31.

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

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions