Organization
SOUTHCENTRAL FOUNDATION
Active
Other names
Eklutna BH, Eklutna BH
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD LEE OLSON (VP OF REVENUE)
(701) 729-4939
Entity
Organization
Contact information
Practice address
26341 EKLUTNA VILLAGE RD, CHUGIAK, AK 99567-5148
(907) 688-6031
(907) 688-6021
Mailing address
PO BOX 35198, CHUGIAK, AK 99567-5148
(907) 688-6731
(907) 688-8607
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/17/2020
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