<Unavail>

LBN: Southcentral Foundation
<Unavail> is an health care organization with primary practice located at 6901 E Tudor Rd , Anchorage AK 99507-1254. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as 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
6901 E Tudor Rd Anchorage AK 99507-1254
Phone: (907) 729-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Olson, Ronald Lee
Phone: (907) 729-4939

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20467 Alaska

Profile Details

NPI number 1972050870
LBN Legal business name Southcentral Foundation
DBA Doing business as <Unavail>
Authorized official Olson, Ronald Lee
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 8th, 2016
Last updated Sep 19th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972050870 NPPES
Alaska MEDICAID 1654623

Popular Providers