| Southcentral Foundation | |
|
1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | |
| (907) 729-8624 | |
| Not Available |
| Full Name | Southcentral Foundation |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1001 S Knik Goose Bay Rd, Wasilla, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689194250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 20467 (Alaska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Southcentral Foundation 4501 Diplomacy Dr, Anchorage, AK 99508-5919 Ph: (907) 729-8624 | Southcentral Foundation 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 Ph: (907) 729-8624 |
Raina Pasiewicz, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1001 S Knik Goose Bay Rd, Wasilla, AK 99654 Phone: 907-631-7800 | |
Laura Phillips, RD Dietitian Medicare: May Accept Medicare Assignments Practice Location: 2000 E Industrial Dr, Wasilla, AK 99654 Phone: 907-357-3003 Fax: 907-357-3003 | |
Mallory Lorraine Reeves, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1001 S Knik Goose Bay Rd, Wasilla, AK 99654 Phone: 907-631-7654 | |
Allison Michelle Hillen, MS, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1001 S Knik Goose Bay Rd, Wasilla, AK 99654 Phone: 907-631-7800 | |
Miss Alesya Oleynik, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1001 S Knik Goose Bay Rd, Wasilla, AK 99654 Phone: 907-631-7800 | |
Shanna M Mcgrath, MPH, PA-C, RD, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1001 S Knik Goose Bay Rd, Wasilla, AK 99654 Phone: 907-631-7800 |