| Southcentral Foundation | |
|
3550 Cottonwood St Anchorage AK 99508-4352 | |
| (907) 729-5273 | |
| (907) 729-8607 |
| Full Name | Southcentral Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3550 Cottonwood St, Anchorage, Alaska |
| Authorized Official Name and Position | Ronald Lee Olson (VP OF FINANCE) |
| Authorized Official Contact | 7017294939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southcentral Foundation 7033 E Tudor Rd Anchorage AK 99507-1262 Ph: (907) 729-5418 | Southcentral Foundation 3550 Cottonwood St Anchorage AK 99508-4352 Ph: (907) 729-5273 |
| NPI Number | 1568065738 |
|---|---|
| Provider Enumeration Date | 11/19/2020 |
| Last Update Date | 11/19/2020 |
| Certification Date | 11/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568065738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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