# SOUTHCENTRAL FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHCENTRAL FOUNDATION
- **Other names:** Tribal- Elders Program Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528600947
- **Legal business name:** SOUTHCENTRAL FOUNDATION
- **Authorized official:** RONALD LEE OLSON (EXECUTIVE VICE PRESIDENT FINANCE)
- **Authorized official phone:** (907) 729-4939

## Contact information

- **Practice address:** 6901 E TUDOR RD STE 8, ANCHORAGE, AK 99507-1254
- **Practice address phone:** (907) 729-6500
- **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:** 10/17/2019
- **Last updated:** 09/13/2023