| Southcentral Foundation | |
|
4130 San Ernesto Ave Anchorage AK 99508-2875 | |
| (907) 729-5070 | |
| Not Available |
| Full Name | Southcentral Foundation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4130 San Ernesto Ave, Anchorage, Alaska |
| Authorized Official Name and Position | Ronald Lee Olson (EXECUTIVE VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 9077294939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southcentral Foundation Po Box 35198 Seattle WA 98124-5198 Ph: () - | Southcentral Foundation 4130 San Ernesto Ave Anchorage AK 99508-2875 Ph: (907) 729-5070 |
| NPI Number | 1184678559 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 04/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184678559 | NPI | - | NPPES |
| 1000855 | Medicaid | AK | |
| 1021095 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Fairbanks St Suite A, Anchorage, AK 99503 Phone: 907-561-3488 Fax: 907-562-3488 | |
Alaska Family Care Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4001 Dale Street, Suite 210, Anchorage, AK 99508 Phone: 907-929-5888 Fax: 907-929-5882 | |
Daryl M. Mcclendon, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3851 Piper St, Suite U466, Anchorage, AK 99508 Phone: 907-569-1333 Fax: 907-569-1433 | |
Willow Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3030 Wendys Way Unit A, Anchorage, AK 99517 Phone: 406-253-7924 | |
Autonomology, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2925 Debarr Rd Ste 240, Anchorage, AK 99508 Phone: 907-339-4657 | |
Douglas Carter Smith Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17741 Mountainside Village Dr, Anchorage, AK 99516 Phone: 907-345-0728 Fax: 907-345-0728 | |
Internal Medicine Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2841 Debarr Rd Ste 50, Anchorage, AK 99508 Phone: 907-276-2811 Fax: 907-276-2810 |