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Southcentral Foundation — NPI 1952770307, Pedro Bay, AK | NPI Central

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Southcentral Foundation

NPI 1952770307 · Community Health Clinic/Center · Pedro Bay, AK

Provider details

NPI number: 1952770307
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

2516 Mountain Circle

Pedro Bay, AK 99647

Phone: (907) 850-2229

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 - Pedro Bay Community Health Clinic

Registry dates

Enumerated: 2015-09-16
Last updated: 2023-09-19
Certified: 2023-09-19

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