OrganizationActive
Southcentral Foundation
NPI 1457196685 · Multi-Specialty Clinic/Center · Wasilla, AK
Provider details
- NPI number
- 1457196685
- 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(701) 729-4939
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3505 E Meridian Park Loop Ste 220
Wasilla, AK 99654-7242
Phone: (907) 729-8901
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35198
Seattle, WA 98124-5198
Other names (DBA / former)
- Doing business as
- Alaska Subspecialty Pediatric Network (aspn)
- Doing business as
- Alaska Subspecialty Pediatric Network (aspn)
Additional practice locations (3)
- 4320 Diplomacy Dr Ste 2300Anchorage, AK 99508-5925Phone: (907) 729-9989
- 1717 W Cowles StFairbanks, AK 99701-3975Phone: (907) 729-9989
- 1659 Cowles StSte 338Fairbanks, AK 99701-5924Phone: (907) 729-8901
Registry dates
- Enumerated
- 2024-06-28
- Last updated
- 2025-09-09
- Certified
- 2025-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.