| Southcentralfoundation | |
|
4320 Diplomacy Dr Anchorage AK 99508-5925 | |
| (907) 729-4955 | |
| Not Available |
| Full Name | Southcentralfoundation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4320 Diplomacy Dr, Anchorage, Alaska |
| Authorized Official Name and Position | Douglas Eby (VICE PRSIDENT MEDICAL SERVICES) |
| Authorized Official Contact | 9077294955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southcentralfoundation 4320 Diplomacy Dr Anchorage AK 99508-5925 Ph: (907) 729-4955 | Southcentralfoundation 4320 Diplomacy Dr Anchorage AK 99508-5925 Ph: (907) 729-4955 |
| NPI Number | 1669638227 |
|---|---|
| Provider Enumeration Date | 08/04/2008 |
| Last Update Date | 08/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669638227 | NPI | - | NPPES |
| 10662 | Other | AK | STATE OF ALASKA REGISTERED NURSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 10662 (Alaska) | Primary |
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