OrganizationActive
Southcentral Foundation
NPI 1366615114 · Family Medicine Physician · Mcgrath, AK
Provider details
- NPI number
- 1366615114
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Southcentral Foundation
- Organization subpart
- Yes
- Authorized official
- Ronald Olson, Vp Finance(907) 729-4939
- License
- 20467 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
10 Dnr Road
Mcgrath, AK 99627
Phone: (907) 524-3299
Approximate (ZIP-level) locationGet directions
Mailing address
4501 Diplomacy Dr
Anchorage, AK 99508-5919
Other names (DBA / former)
- Doing business as
- Rural Health Clinic
Registry dates
- Enumerated
- 2008-04-11
- Last updated
- 2016-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.