| Southcentral Foundation | |
|
4501 Diplomacy Dr Anchorage AK 99508-5919 | |
| (907) 729-3320 | |
| Not Available |
| Full Name | Southcentral Foundation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4501 Diplomacy Dr, Anchorage, Alaska |
| Authorized Official Name and Position | David A Morgan (DIRECOR OF REIMBURSEMENT) |
| Authorized Official Contact | 9077294955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southcentral Foundation 4201 Tudar Centre Dr Suite 320 Anchorage AK 99508-5904 Ph: (907) 729-8624 | Southcentral Foundation 4501 Diplomacy Dr Anchorage AK 99508-5919 Ph: (907) 729-3320 |
| NPI Number | 1487810420 |
|---|---|
| Provider Enumeration Date | 07/30/2008 |
| Last Update Date | 09/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487810420 | NPI | - | NPPES |
| 18317 | Other | AK | STATE OF ALASKA REGISTERED NURSE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 18317 (Alaska) | Primary |
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