Organization
SOUTHCENTRAL FOUNDATION
Active
Other names
Tribal Targeted Case Management Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A MORGAN (DIRECTOR OF REIMBURSEMENT)
(907) 729-4955
Entity
Organization
Contact information
Practice address
4201 TUDOR CENTRE DR, SUITE 315, ANCHORAGE, AK 99508-5904
(907) 729-4907
Mailing address
4201 TUDOR CENTRE DR, SUITE 320, ANCHORAGE, AK 99508-5904
(907) 729-8624
(907) 729-8607
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
20467
AK
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/11/2008
Last updated
09/01/2010
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