Southcentral Foundation | |
4320 Diplomacy Dr Anchorage AK 99508-5925 | |
(907) 729-3300 | |
Not Available |
Full Name | Southcentral Foundation |
---|---|
Speciality | Clinic/center - Community Health |
Location | 4320 Diplomacy Dr, Anchorage, Alaska |
Authorized Official Name and Position | Ronald Lee Olson (VP FINANCE) |
Authorized Official Contact | 9077294939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southcentral Foundation 4501 Diplomacy Dr Anchorage AK 99508-5919 Ph: (907) 729-4955 | Southcentral Foundation 4320 Diplomacy Dr Anchorage AK 99508-5925 Ph: (907) 729-3300 |
NPI Number | 1538378625 |
---|---|
Provider Enumeration Date | 05/22/2007 |
Last Update Date | 01/28/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538378625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | 20467 (Alaska) | Primary |
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