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Southcentral Foundation — NPI 1184678559, Anchorage, AK | NPI Central

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Southcentral Foundation

NPI 1184678559 · Primary Care Clinic/Center · Anchorage, AK

Provider details

NPI number: 1184678559
Entity type: Organization
Primary specialty: Primary Care 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

Primary Care Clinic/CenterPrimary261QP2300X
Ambulatory Health Care Facilities
Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities

Practice location

4130 San Ernesto Ave

Anchorage, AK 99508-2875

Phone: (907) 729-5070

Approximate (ZIP-level) locationGet directions

More AK providers

Mailing address

Po Box 35198

Seattle, WA 98124-5198

Other names (DBA / former)

Doing business as: Bsd- Dena a Coy

Registry dates

Enumerated: 2006-05-20
Last updated: 2024-04-19
Certified: 2024-04-19

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