Southcentral Foundation | |
4353 Rendezvous Cir Anchorage AK 99504-4219 | |
(907) 729-5273 | |
(907) 729-8607 |
Full Name | Southcentral Foundation |
---|---|
Speciality | Community/behavioral Health |
Location | 4353 Rendezvous Cir, Anchorage, Alaska |
Authorized Official Name and Position | Ronald Lee Olson (MANAGER OF REVENUE CYCLE) |
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 4353 Rendezvous Cir Anchorage AK 99504-4219 Ph: (907) 729-5273 |
NPI Number | 1972106524 |
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Provider Enumeration Date | 11/17/2020 |
Last Update Date | 11/17/2020 |
Certification Date | 11/17/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972106524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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