Organization
SOUTHCENTRAL FOUNDATION
Active
Parent organization
SOUTHCENTRAL FOUNDATION
Other names
Alaska Subspecialty Pediatric Network (ASPN)
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHCENTRAL FOUNDATION
Authorized official
RONALD LEE OLSON (EXECUTIVE VICE PRESIDENT FINANCE)
(701) 729-4939
Entity
Organization
Contact information
Practice address
3505 E MERIDIAN PARK LOOP STE 220, WASILLA, AK 99654-7242
(907) 729-8901
Mailing address
PO BOX 35198, SEATTLE, WA 98124-5198
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
09/09/2025
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