OrganizationActive
Southcentral Foundation
NPI 1164669040 · Primary Care Clinic/Center · Anchorage, AK
Provider details
- NPI number
- 1164669040
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ronald Olson, Vp Finance(907) 729-4939
- License
- 20467 (AK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Chiropractic Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
4320 Diplomacy Dr
Anchorage, AK 99508-5925
Phone: (907) 729-3300
Street-level locationGet directions
Mailing address
4501 Diplomacy Dr
Anchorage, AK 99508-5919
Registry dates
- Enumerated
- 2009-01-14
- Last updated
- 2016-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.