OrganizationActive
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
Ambulatory Health Care Facilities
Practice location
101 Indian Creek Road
Tyonek, AK 99682
Phone: (907) 583-2461
Approximate (ZIP-level) locationGet directions
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.