NPI 1194987370
Southcentral Foundation
Practice location
- Address
- 4353 Rendezvous Cir, Anchorage, AK 99504-4219
- Phone
- (907) 729-5020
- Mailing address
- 4501 Diplomacy Dr Attn: Provider Enrollment, Anchorage, AK 99508-5919
Authorised official
- Name
- Ronald Lee Olson
- Title
- Vp of Finance
- Phone
- (907) 729-4939
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1194987370
- Entity type
- Organization
- NPI issued
- 27 Jun 2008
- Record last updated
- 28 Jan 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.