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Southcentral Foundation — NPI 1447512660, Anchorage, AK | NPI Central

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Southcentral Foundation

NPI 1447512660 · Primary Care Clinic/Center · Anchorage, AK

Provider details

NPI number: 1447512660
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
License: 20467 (AK)

Specialties & taxonomies

Primary Care Clinic/CenterPrimary261QP2300XLicense 20467 (AK)
Ambulatory Health Care Facilities

Practice location

225 Eagle St

Anchorage, AK 99501-2626

Phone: (907) 729-6550

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- Quyana Clubhouse

Registry dates

Enumerated: 2012-06-13
Last updated: 2023-09-13
Certified: 2023-09-13

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