Southcentral Foundation is a health care provider in Anchorage, AK. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||101 Airport Road, Iliamna, AK 99606, US|
|Practice Location Phone||907-571-1818|
|Practice Location Fax|
|Legal Business Name||SOUTHCENTRAL FOUNDATION|
|Other Organization Name||NILAVENA CLINIC|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||May 30, 2006|
|Last Update Date ?||Apr 4, 2014|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Multi-Specialty||20467||Alaska|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Southcentral Foundation's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Ronald L. Olson|
|Authorized Official Title/Position||VP OF FINANCE|
|Authorized Official Phone Number||907-729-4939|