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Organization
SOUTHCENTRAL FOUNDATION
Active
Organization
SOUTHCENTRAL FOUNDATION
Active
Other names
Tribal- Fireweed
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD L. OLSON (EXECUTIVE VP FINANCE)
(907) 729-4939
Entity
Organization
Contact information
Practice address
4341 TUDOR CENTRE DR STE 300, ANCHORAGE, AK 99508-5904
(907) 729-2500
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000855
—
AK
Enumeration date
05/25/2007
Last updated
06/06/2025
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