NPI 1760739601
Southcentral Foundation
Practice location
- Address
- 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083
- Phone
- (907) 631-7800
- Fax
- (907) 631-7619
Authorised official
- Name
- Ronald Lee Olson
- Title
- Vp Finance
- Phone
- (907) 729-4939
Registered specialties
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Registry record
- NPI
- 1760739601
- Entity type
- Organization
- NPI issued
- 9 Aug 2012
- Record last updated
- 5 Jun 2026
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.