Organization
SOUTHCENTRAL FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD LEE OLSON (VP OF FINANCE)
(701) 729-4939
Entity
Organization
Contact information
Practice address
4341 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5904
(907) 729-2500
Mailing address
4501 DIPLOMACY DR, ANCHORAGE, AK 99508-5919
(907) 729-8624
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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