NPI 1043769797
Southcentral Foundation
Practice location
- Address
- 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083
- Phone
- (907) 729-8624
- Mailing address
- 4501 Diplomacy Dr, Anchorage, AK 99508-5919
Authorised official
- Name
- Ronald Lee Olsen
- Title
- Vp of Finance
- Phone
- (907) 729-4949
Registered specialties
Hearing Aid Equipment
Primary
Registry record
- NPI
- 1043769797
- Entity type
- Organization
- NPI issued
- 22 Sep 2016
- Record last updated
- 22 Sep 2016
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.