Southcentral Foundation
NPI 1922405406 · Multi-Specialty Clinic/Center · St Paul, AK
Southcentral Foundation is a Multi-Specialty Clinic/Center organization in St Paul, AK (NPI 1922405406).
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)
Practice location
Mailing address
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.