Tribal- Kkgb Ob/Gyn

LBN: Southcentral Foundation
Tribal- Kkgb Ob/Gyn is an health care organization with primary practice located at 4441 Diplomacy Dr , Anchorage AK 99508-5910. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Southcentral Foundation can be contacted via phone (907) 729-3100, or through Olson, Ronald Lee via phone (907) 729-4939.

Contact Information

Primary practice address
4441 Diplomacy Dr Anchorage AK 99508-5910
Phone: (907) 729-3100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Olson, Ronald Lee
Phone: (907) 729-4939

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1124666730
LBN Legal business name Southcentral Foundation
DBA Doing business as Tribal- Kkgb Ob/Gyn
Authorized official Olson, Ronald Lee
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 13th, 2019
Last updated Aug 31st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124666730 NPPES
Alaska MEDICAID 1701246

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