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Southcentral Foundation — NPI 1922405406, St Paul, AK | NPI Central

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NPI 1922405406

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Southcentral Foundation

NPI 1922405406 · Multi-Specialty Clinic/Center · St Paul, AK

Provider details

NPI number: 1922405406
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(907) 729-4939
License: 20467 (AK)

Specialties & taxonomies

Multi-Specialty Clinic/CenterPrimary261QM1300XLicense 20467 (AK)
Ambulatory Health Care Facilities

Practice location

1000 Polovina Turnpike

St Paul, AK 99660

Phone: (907) 546-8300

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- St. Paul Community Health Center

Registry dates

Enumerated: 2014-11-26
Last updated: 2023-09-18
Certified: 2023-09-18

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