| Southcentral Foundation | |
|
4353 Rendezvous Cir Anchorage AK 99504-4219 | |
| (907) 729-5273 | |
| (907) 729-8607 |
| Full Name | Southcentral Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4353 Rendezvous Cir, Anchorage, Alaska |
| Authorized Official Name and Position | Ronald Lee Olson (MANAGER OF REVENUE CYCLE) |
| Authorized Official Contact | 7017294939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southcentral Foundation 7033 E Tudor Rd Anchorage AK 99507-1262 Ph: (907) 729-5418 | Southcentral Foundation 4353 Rendezvous Cir Anchorage AK 99504-4219 Ph: (907) 729-5273 |
| NPI Number | 1972106524 |
|---|---|
| Provider Enumeration Date | 11/17/2020 |
| Last Update Date | 11/17/2020 |
| Certification Date | 11/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972106524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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