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Organization
SOUTHCENTRAL FOUNDATION
Active
Organization
SOUTHCENTRAL FOUNDATION
Active
Parent organization
SOUTHCENTRAL FOUNDATION
Other names
Tribal- Kokhanok Community Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHCENTRAL FOUNDATION
Authorized official
RONALD LEE OLSON (EXECUTIVE VICE PRESIDENT OF FINANCE)
(907) 729-4939
Entity
Organization
Contact information
Practice address
1008 MAIN STREET, KOKHANOK, AK 99606
(907) 282-2203
Mailing address
PO BOX 35198, SEATTLE, WA 98124-5198
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
20467
AK
Other
Enumeration date
09/18/2015
Last updated
08/30/2023
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