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Organization

SOUTHCENTRAL FOUNDATION

Active
Parent organization
SOUTHCENTRAL FOUNDATION
Other names
HPG - SCF Health Professional Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHCENTRAL FOUNDATION
Authorized official
RONALD LEE OLSON (EXECUTIVE VICE PRESIDENT FINANCE)
(907) 729-4939
Entity
Organization

Contact information

Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-5418
Mailing address
PO BOX 35198, SEATTLE, WA 98124-5198

Taxonomy

Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
20467
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1020925
AK
Enumeration date
03/28/2007
Last updated
09/01/2023
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