Southcentral Foundation in Mcgrath - Multi-specialty
Southcentral Foundation - NPI 1063467223
Southcentral Foundation is a Multi-specialty in Mcgrath, Alaska. Southcentral Foundation practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Southcentral Foundation is 1063467223. The last update date is 2023-08-30.
Southcentral Foundation's current location address is 10 Dnr Road, Mcgrath, Alaska. You can contact this provider via phone number 9075243299. The mailing address for Southcentral Foundation is 10 Dnr Road, Mcgrath, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southcentral Foundation |
|---|---|
| Address | 10 Dnr Road, Mcgrath, Alaska |
| Phone Number | 9075243299 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Olson Lee Ronald |
| Telephone Number | 9077294939 |
NPI Number Detail
| NPI Number | 1063467223 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2023-08-30 |
Provider Mailing Address Detail
| Address | 10 Dnr Road |
|---|---|
| City | Mcgrath |
| State | Alaska (AK) |
| Post Code | 99627 |
| Phone Number | 9075243299 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
| Licence No | 20467 |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1000864 | AK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Southcentral Foundation by the Centers for Medicare & Medicaid Services (CMS)?
The Southcentral Foundation has been assigned the NPI (National Provider Identifier) 1063467223. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Southcentral Foundation is physically located?
The Southcentral Foundation is physically situated at the following address: 10 Dnr Road, Mcgrath, AK, 99627.
What is Southcentral Foundation's specialized field of practice, and what is the corresponding taxonomy classification code?
The Southcentral Foundation's area of specialization is Multi-specialty, and the corresponding taxonomy code that categorizes this field of practice is 261Qm1300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063467223 to Southcentral Foundation?
The Centers for Medicare & Medicaid Services assigned the 1063467223 to Southcentral Foundation on 2006-05-24.
As of what date were the details pertaining to Southcentral Foundation last refreshed?
The information related to the Southcentral Foundation, including its address, specialty, and other relevant details, was last updated on 2023-08-30.
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