# SOUTHCENTRALFOUNDATION

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

## Provider details

- **NPI number:** 1669638227
- **Authorized official:** DR. DOUGLAS EBY MD (VICE PRSIDENT MEDICAL SERVICES)
- **Authorized official phone:** (907) 729-4955

## Contact information

- **Practice address:** 4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
- **Practice address phone:** (907) 729-4955
- **Mailing address:** 4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
- **Mailing address phone:** (907) 729-4955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 10662 | AK | Yes |

## Other

- **Enumeration date:** 08/04/2008
- **Last updated:** 08/04/2008