# SOUTHCENTRAL FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164669040
- **Authorized official:** RONALD LEE OLSON (VP FINANCE)
- **Authorized official phone:** (907) 729-4939

## Contact information

- **Practice address:** 4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
- **Practice address phone:** (907) 729-3300
- **Mailing address:** 4501 DIPLOMACY DR, ANCHORAGE, AK 99508-5919
- **Mailing address phone:** (907) 729-4955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 20467 | AK | — |
| 261QP2300X | Primary Care Clinic/Center | 20467 | AK | Yes |

## Other

- **Enumeration date:** 01/14/2009
- **Last updated:** 01/28/2016