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Organization

SOUTHCENTRAL FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD LEE OLSON (VP OF FINANCE)
(907) 729-4939
Entity
Organization

Contact information

Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-3300
Mailing address
4501 DIPLOMACY DR, ANCHORAGE, AK 99508-5919
(907) 729-4955

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
20467
AK

Other

Enumeration date
06/23/2010
Last updated
02/04/2016
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