# SOUTHCENTRAL FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Speech Pathology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982804068
- **Authorized official:** DAVID A MORGAN (DIRECTOR OF REIMBURSEMENT)
- **Authorized official phone:** (907) 729-4955

## Contact information

- **Practice address:** 6901 E TUDOR RD, ANCHORAGE, AK 99507-1241
- **Practice address phone:** (907) 729-6100
- **Mailing address:** 4201 TUDOR CENTRE DRIVE, SUITE 320, ANCHORAGE, AK 99508-5904
- **Mailing address phone:** (907) 729-8624
- **Mailing address fax:** (907) 729-8607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | 20467 | AK | Yes |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/18/2007
- **Last updated:** 02/15/2011