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Southcentral Foundation — NPI 1306503578, Anchorage, AK | NPI Central

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NPI 1306503578

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Southcentral Foundation

NPI 1306503578 · Multi-Specialty Clinic/Center · Anchorage, AK

Provider details

NPI number: 1306503578
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

Specialties & taxonomies

Multi-Specialty Clinic/CenterPrimary261QM1300X
Ambulatory Health Care Facilities

Practice location

9131 Centennial Cir

Anchorage, AK 99504-1482

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- Centennial Center Clinic

Registry dates

Enumerated: 2021-11-23
Last updated: 2023-09-01
Certified: 2023-09-01

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