| Southcentral Foundation | |
|
Mile 28.5 Edgerton Hwy Chitina AK 99566 | |
| (907) 823-2215 | |
| Not Available |
| Full Name | Southcentral Foundation |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | Mile 28.5 Edgerton Hwy, Chitina, Alaska |
| Authorized Official Name and Position | Ronald Lee Olson (EXECUTIVE VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 7017294939 |
| 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: (907) 729-4953 | Southcentral Foundation Mile 28.5 Edgerton Hwy Chitina AK 99566 Ph: (907) 823-2215 |
| NPI Number | 1477377661 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 11/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477377661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Chitina Traditional Indian Village Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Mile 28.5 Edgerton Hwy, Chitina, AK 99566 Phone: 907-823-2213 |