NPI 1033712278
Southcentral Foundation
Practice location
- Address
- 10 Dnr Rd, McGrath, AK 99627
- Phone
- (907) 729-4987
- Fax
- (907) 729-8607
- Mailing address
- 7033 E Tudor Rd, Anchorage, AK 99507-1262
Authorised official
- Name
- Jona Tetzloff
- Title
- Manager of Revenue Cycle
- Phone
- (907) 729-5083
Registered specialties (3)
Community/Behavioral Health Agency
Primary
Rural Health Clinic/Center
Student Health Clinic/Center
Registry record
- NPI
- 1033712278
- Entity type
- Organization
- NPI issued
- 19 Nov 2020
- Record last updated
- 20 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.