# 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:** Tribal-Nilavena Regional Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912954272
- **Legal business name:** SOUTHCENTRAL FOUNDATION
- **Authorized official:** RONALD LEE OLSON (EXECUTIVE VICE PRESIDENT FINANCE)
- **Authorized official phone:** (907) 729-4939

## Contact information

- **Practice address:** 101 AIRPORT ROAD, ILIAMNA, AK 99606
- **Practice address phone:** (907) 571-1818
- **Mailing address:** PO BOX 35198, SEATTLE, WA 98124-5198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 20467 | AK | Yes |

## Other

- **Enumeration date:** 05/30/2006
- **Last updated:** 09/18/2023