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Organization
SOUTHCENTRAL FOUNDATION
Active
Organization
SOUTHCENTRAL FOUNDATION
Active
Other names
SCF BSD Adult Outpatient Services Medical
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA CAYANONG RANON-BACOD (SUPERVISOR)
(907) 729-6799
Entity
Organization
Contact information
Practice address
999 E TUDOR RD, ANCHORAGE, AK 99503-6123
(907) 729-6799
(907) 729-8607
Mailing address
999 E TUDOR RD, ANCHORAGE, AK 99503-6123
(907) 729-6799
(907) 729-8607
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/23/2021
Last updated
06/29/2022
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