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
Specialties & taxonomies
Ambulatory Health Care Facilities
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.
Practice location
1 Flight Line Rd
Port Alsworth, AK 99653-9801
Phone: (907) 781-2256
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35151
Seattle, WA 98124-5151
Other names (DBA / former)
- Doing business as
- Dental- Port Alsworth Clinic
Registry dates
- 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.