SOUTHCENTRAL FOUNDATION; NPI #1295104644

Contact Information

SOUTHCENTRAL FOUNDATION

102 FIREWEED LANE
NEWHALEN, AK 99606

Phone: 907-571-1231
Fax: 907-571-1551
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community Health	261QC1500X

Indicates primary specialty

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NPI Profile & details for SOUTHCENTRAL FOUNDATION

NPI # 1295104644

LBN Legal business name SOUTHCENTRAL FOUNDATION

Authorized official RONALD OLSON - (VP FINANCE)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/16/2015

Last updated 09/16/2015 - About 11 years ago

Identifiers

License #

20467

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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