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Southcentral Foundation — NPI 1174027296, Anchorage, AK | NPI Central

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NPI 1174027296

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Southcentral Foundation

NPI 1174027296 · Multi-Specialty Clinic/Center · Anchorage, AK

Provider details

NPI number: 1174027296
Entity type: Organization
Primary specialty: Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
Parent organization: Southcentral Foundation
Organization subpart: Yes
Authorized official: Ronald Olson, Executive Vice President Finance(907) 729-4939
License: 20467 (AK)

Specialties & taxonomies

Multi-Specialty Clinic/CenterPrimary261QM1300XLicense 20467 (AK)
Ambulatory Health Care Facilities

Practice location

4441 Diplomacy Dr

Anchorage, AK 99508-5910

Phone: (907) 729-4955

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 - Kkgb Anthc (shared)

Registry dates

Enumerated: 2018-03-22
Last updated: 2025-04-04
Certified: 2025-04-04

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