| Southcentral Foundation | |
|
3000 C St Anchorage AK 99503-3975 | |
| (907) 729-8558 | |
| Not Available |
| Full Name | Southcentral Foundation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3000 C St, Anchorage, Alaska |
| Authorized Official Name and Position | Jona Tetzloff (MANAGER OF REVENUE CYCLE) |
| Authorized Official Contact | 9077295083 |
| 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) 729-5083 | Southcentral Foundation 3000 C St Anchorage AK 99503-3975 Ph: (907) 729-8558 |
| NPI Number | 1215700554 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215700554 | NPI | - | NPPES |
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