# SOUTHCENTRAL FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHCENTRAL FOUNDATION
- **Other names:** Tribal/HPG- Valley Native Primary Care Center, Tribal/HPG- Benteh Nuutah Primary Care Center (BNPCC)
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386680056
- **Legal business name:** SOUTHCENTRAL FOUNDATION
- **Authorized official:** RONALD LEE OLSON (EXECUTIVE VICE PRESIDENT FINANCE)
- **Authorized official phone:** (907) 729-4939

## Contact information

- **Practice address:** 1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
- **Practice address phone:** (907) 631-7800
- **Mailing address:** PO BOX 35198, SEATTLE, WA 98124-5198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 20467 | AK | Yes |
| 261QP2300X | Primary Care Clinic/Center | 20467 | AK | — |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 06/05/2026