Southcentral Foundation in Wasilla - Multi-specialty
Southcentral Foundation - NPI 1386680056
Southcentral Foundation is a Multi-specialty in Wasilla, Alaska. Southcentral Foundation practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Southcentral Foundation is 1386680056. The last update date is 2023-09-01.
Southcentral Foundation's current location address is 1001 S Knik Goose Bay Rd, Wasilla, Alaska. You can contact this provider via phone number 9076317800. The mailing address for Southcentral Foundation is 1001 S Knik Goose Bay Rd, Wasilla, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southcentral Foundation |
|---|---|
| Address | 1001 S Knik Goose Bay Rd, Wasilla, Alaska |
| Phone Number | 9076317800 |
| 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 | 1386680056 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2023-09-01 |
Provider Mailing Address Detail
| Address | 1001 S Knik Goose Bay Rd |
|---|---|
| City | Wasilla |
| State | Alaska (AK) |
| Post Code | 996548083 |
| Phone Number | 9076317800 |
| 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 |
|---|---|---|---|
| 1020925 | AK | -- | |
| 1000873 | AK | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Southcentral Foundation by the Centers for Medicare & Medicaid Services?
The Southcentral Foundation has been issued the NPI (National Provider Identifier) 1386680056. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Southcentral Foundation?
The Southcentral Foundation is situated at 1001 S Knik Goose Bay Rd, in the city of Wasilla, state of AK, with the zip code 996548083.
What is the area of specialization for Southcentral Foundation, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southcentral Foundation is Multi-specialty, and the corresponding taxonomy code that categorizes this area of expertise is 261Qm1300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386680056 to Southcentral Foundation?
The Southcentral Foundation received its 1386680056 assignment from the Centers for Medicare & Medicaid Services on 2006-06-21.
As of what date was the information pertaining to Southcentral Foundation, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Southcentral Foundation, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-09-01.