Organization
SOUTHCENTRAL FOUNDATION
Active
Organization
SOUTHCENTRAL FOUNDATION
Active
Parent organization
SOUTHCENTRAL FOUNDATION
Other names
McGrath Regional Health Center, McGrath School-Based Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHCENTRAL FOUNDATION
Authorized official
JONA TETZLOFF (MANAGER OF REVENUE CYCLE)
(907) 729-5083
Entity
Organization
Contact information
Practice address
10 DNR RD, MCGRATH, AK 99627
(907) 729-4987
(907) 729-8607
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-6580
(907) 729-8607
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
11/19/2020
Last updated
11/20/2023
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