| Southcentral Foundation | |
|
10 Dnr Road Mcgrath AK 99627 | |
| (907) 524-3299 | |
| Not Available |
| Full Name | Southcentral Foundation |
|---|---|
| Speciality | Family Medicine |
| Location | 10 Dnr Road, Mcgrath, Alaska |
| Authorized Official Name and Position | Ronald Lee Olson (VP FINANCE) |
| Authorized Official Contact | 9077294939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southcentral Foundation 4501 Diplomacy Dr Attn: Provider Enrollment Anchorage AK 99508-5919 Ph: (907) 729-4955 | Southcentral Foundation 10 Dnr Road Mcgrath AK 99627 Ph: (907) 524-3299 |
| NPI Number | 1366615114 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 02/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366615114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20467 (Alaska) | Primary |
Southcentral Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Dnr Rd, Mcgrath, AK 99627 Phone: 907-729-4987 Fax: 907-729-8607 | |
Southcentral Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Dnr Road, Mcgrath, AK 99627 Phone: 907-524-3299 |