| Southcentral Foundation | |
|
26341 Eklutna Village Rd Chugiak AK 99567-5148 | |
| (907) 688-6031 | |
| Not Available |
| Full Name | Southcentral Foundation |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 26341 Eklutna Village Rd, Chugiak, 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 26341 Eklutna Village Rd Chugiak AK 99567-5148 Ph: (907) 688-6031 |
| NPI Number | 1639652662 |
|---|---|
| Provider Enumeration Date | 09/14/2018 |
| Last Update Date | 10/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639652662 | NPI | - | NPPES |
| 1687933 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Peters Creek Medical Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20905 Eastside Dr, Chugiak, AK 99567 Phone: 907-688-0901 Fax: 907-688-0830 | |
Hands On Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20905 Eastside Dr, Chugiak, AK 99567 Phone: 907-761-9176 Fax: 907-745-0200 |