Southcentral Foundation in Anchorage - Multi-specialty
Southcentral Foundation - NPI 1083660815
Southcentral Foundation is a Multi-specialty in Anchorage, Alaska. Southcentral Foundation practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Southcentral Foundation is 1083660815. The last update date is 2023-08-30.
Southcentral Foundation's current location address is 4341 Tudor Centre Dr Ste 200, Anchorage, Alaska. You can contact this provider via phone number 9077298500. The mailing address for Southcentral Foundation is 4341 Tudor Centre Dr Ste 200, Anchorage, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southcentral Foundation |
|---|---|
| Address | 4341 Tudor Centre Dr Ste 200, Anchorage, Alaska |
| Phone Number | 9077298500 |
| 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 | 1083660815 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2023-08-30 |
Provider Mailing Address Detail
| Address | 4341 Tudor Centre Dr Ste 200 |
|---|---|
| City | Anchorage |
| State | Alaska (AK) |
| Post Code | 995085904 |
| Phone Number | 9077298500 |
| 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 |
|---|---|---|---|
| 1000806 | AK | -- |
Post Comment/ Review Below
What is the Southcentral Foundation's 1083660815?
The Southcentral Foundation's NPI (National Provider Identifier) Number is 1083660815. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Southcentral Foundation is physically located?
The Southcentral Foundation is situated at the following address: 4341 Tudor Centre Dr Ste 200, Anchorage, AK 995085904.
What is Southcentral Foundation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Southcentral Foundation is Multi-specialty, and the taxonomy classification code that categorizes this area of expertise is 261Qm1300X.
On what date did the Southcentral Foundation receive its 1083660815 assignment from the Centers for Medicare & Medicaid Services?
The Southcentral Foundation was assigned its 1083660815 by the Centers for Medicare & Medicaid Services on 2006-05-25.
When was the Southcentral Foundation's information last updated?
The Southcentral Foundation's information was last updated on 2023-08-30.
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