Organization
SOUTHCENTRALFOUNDATION
Active
Other names
Tribal Benteh Nuutah Four Directions
Organization subpart
No
Provider details
NPI number
Authorized official
JONA TETZLOFF (MANAGER)
(907) 729-5083
Entity
Organization
Contact information
Practice address
3223 E PALMER WASILLA HWY STE 4, WASILLA, AK 99654-7277
(907) 729-6799
(907) 729-8607
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-5083
(907) 729-5180
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
05/19/2025
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