Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dental |
261QD0000X | |||
Medical Specialty |
261QM2500X | |||
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice |
| NPI # | 1871175455 |
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| LBN Legal business name | SOUTHCENTRAL FOUNDATION | ||||
| Authorized official | RONALD OLSON - (EXECUTIVE VICE PRESIDENT FINANCE) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 04/23/2021 | ||||
| Last updated | 04/01/2026 - About 2 months ago | ||||
| Identifiers |
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SOUTHCENTRAL FOUNDATION
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SOUTHCENTRAL FOUNDATION