OrganizationActive
Southcentralfoundation
NPI 1750052387 · Multi-Specialty Clinic/Center · Wasilla, AK
Provider details
- NPI number
- 1750052387
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jona Tetzloff, Manager(907) 729-5083
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3223 E Palmer Wasilla Hwy Ste 4
Wasilla, AK 99654-7277
Phone: (907) 729-6799
Fax: (907) 729-8607
Approximate (ZIP-level) locationGet directions
Mailing address
7033 E Tudor Rd
Anchorage, AK 99507-1262
Other names (DBA / former)
- Doing business as
- Tribal Benteh Nuutah Four Directions
Registry dates
- Enumerated
- 2021-09-23
- Last updated
- 2025-05-19
- Certified
- 2025-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.