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Southcentral Foundation

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.

physician-icon Basic Information

Practice Location 101 Airport Road, Iliamna, AK 99606, US
Practice Location Phone907-571-1818
Practice Location Fax
Legal Business NameSOUTHCENTRAL FOUNDATION
Other Organization NameNILAVENA CLINIC
Other Organization Name TypeDoing Business As Name
NPI ?1912954272
Entity TypeOrganization
Enumeration Date ? May 30, 2006
Last Update Date ? Apr 4, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Southcentral Foundation

SpecialtySpecializationLicenseLicense State
Clinic/CenterMulti-Specialty 20467Alaska

official-icon Authorized Official of Southcentral Foundation

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/PositionVP OF FINANCE
Authorized Official Phone Number907-729-4939