Southcentral Foundation is a
Clinic/center - Primary Care based in Anchorage, Alaska. Southcentral Foundation is licensed to practice in Alaska (license number 20467) and their current practice location is
4320 Diplomacy Dr, Anchorage, Alaska. It can be reached at their office (for appointments etc.) via phone at
(907) 729-3300.
NPI number for Southcentral Foundation is 1164669040 and their current mailing address is 4501 Diplomacy Dr, Anchorage, Alaska. Southcentral Foundation
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1164669040.
Healthcare Provider's Profile
| Full Name | Southcentral Foundation |
|---|
| Type | Facility |
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| Speciality | Clinic/center - Primary Care |
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| Location | 4320 Diplomacy Dr, Anchorage, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164669040
- Provider Enumeration Date: 01/14/2009
- Last Update Date: 01/28/2016
Medical Identifiers
Medical identifiers for Southcentral Foundation such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164669040 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 20467 (Alaska) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 20467 (Alaska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Southcentral Foundation is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Southcentral Foundation
4501 Diplomacy Dr,
Anchorage, AK 99508-5919
Ph: (907) 729-4955 | Southcentral Foundation
4320 Diplomacy Dr,
Anchorage, AK 99508-5925
Ph: (907) 729-3300 |
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