Southcentral Foundation

LBN: Southcentral Foundation
Southcentral Foundation is an health care organization with primary practice located at 3000 C St , Anchorage AK 99503-3975. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Southcentral Foundation can be contacted via phone (907) 729-8558, or through Tetzloff, Jona via phone (907) 729-5083.

Contact Information

Primary practice address
3000 C St Anchorage AK 99503-3975
Phone: (907) 729-8558
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tetzloff, Jona
Phone: (907) 729-5083

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1215700554
LBN Legal business name Southcentral Foundation
DBA Doing business as
Authorized official Tetzloff, Jona
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 30th, 2023
Last updated Oct 30th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers