Tribal- Centennial Center Clinic

LBN: Southcentral Foundation
Tribal- Centennial Center Clinic is an health care organization with primary practice located at 9131 Centennial Cir , Anchorage AK 99504-1482. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Southcentral Foundation can be contacted via phone (907) 729-4955, or through Olson, Ronald Lee via phone (907) 729-4939.

Contact Information

Primary practice address
9131 Centennial Cir Anchorage AK 99504-1482
Phone: (907) 729-4955
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Olson, Ronald Lee
Phone: (907) 729-4939

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1306503578
LBN Legal business name Southcentral Foundation
DBA Doing business as Tribal- Centennial Center Clinic
Authorized official Olson, Ronald Lee
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 23rd, 2021
Last updated Sep 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306503578 NPPES
Alaska MEDICAID 1728771

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