<Unavail>
LBN: Southcentral Foundation
<Unavail> is an health care organization with primary practice located at 4441 Diplomacy Dr , Anchorage AK 99508-5910. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty.
Southcentral Foundation can be contacted via phone (907) 729-2000, or through Olson, Ronald Lee via phone (907) 729-4939.
Contact Information
Primary practice address
4441 Diplomacy Dr
Anchorage AK 99508-5910
Phone: (907) 729-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X |
Profile Details
| NPI number | 1225618481 |
|---|---|
| LBN Legal business name | Southcentral Foundation |
| DBA Doing business as | <Unavail> |
| Authorized official | Olson, Ronald Lee |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 12th, 2021 |
| Last updated | Aug 31st, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225618481 | NPPES |
| Alaska | MEDICAID | 1685411 |
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