# SOUTHCENTRAL FOUNDATION NIKOLAI HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548293798
- **Authorized official:** CATHY A LEMAY (DIRECTOR OF PATIENT ACCOUNTS)
- **Authorized official phone:** (907) 729-4955

## Contact information

- **Practice address:** 9105 AIRPORT DRIVE, NIKOLAI, AK 99691
- **Practice address phone:** (907) 293-2328
- **Practice address fax:** (907) 729-6353
- **Mailing address:** 4201 TUDOR CENTRE DR STE 320, ANCHORAGE, AK 99508-5916
- **Mailing address phone:** (907) 729-4955
- **Mailing address fax:** (907) 729-6353

## Taxonomy

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

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 01/22/2008
