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Southcentral Foundation — NPI 1609232040, Tyonek, AK | NPI Central

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Southcentral Foundation

NPI 1609232040 · Community Health Clinic/Center · Tyonek, AK

Provider details

NPI number: 1609232040
Entity type: Organization
Primary specialty: Community Health 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

Community Health Clinic/CenterPrimary261QC1500XLicense 20467 (AK)
Ambulatory Health Care Facilities

Practice location

101 Indian Creek Road

Tyonek, AK 99682

Phone: (907) 583-2461

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- Indian Creek Health Center

Registry dates

Enumerated: 2016-01-14
Last updated: 2023-09-14
Certified: 2023-09-14

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