# SOUTHCENTRAL FOUNDATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHCENTRAL FOUNDATION
- **Other names:** Chitina Clinic - SCF Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477377661
- **Legal business name:** SOUTHCENTRAL FOUNDATION
- **Authorized official:** RONALD LEE OLSON (EXECUTIVE VICE PRESIDENT FINANCE)
- **Authorized official phone:** (701) 729-4939

## Contact information

- **Practice address:** MILE 28.5 EDGERTON HWY, CHITINA, AK 99566
- **Practice address phone:** (907) 823-2215
- **Mailing address:** PO BOX 35198, SEATTLE, WA 98124-5198
- **Mailing address phone:** (907) 729-4953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/13/2024
- **Last updated:** 11/18/2024