# SOUTHCENTRAL FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHCENTRAL FOUNDATION
- **Other names:** Alaska Subspecialty Pediatric Network (ASPN)
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457196685
- **Legal business name:** SOUTHCENTRAL FOUNDATION
- **Authorized official:** RONALD LEE OLSON (EXECUTIVE VICE PRESIDENT FINANCE)
- **Authorized official phone:** (701) 729-4939

## Contact information

- **Practice address:** 3505 E MERIDIAN PARK LOOP STE 220, WASILLA, AK 99654-7242
- **Practice address phone:** (907) 729-8901
- **Mailing address:** PO BOX 35198, SEATTLE, WA 98124-5198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/28/2024
- **Last updated:** 09/09/2025