Care Coordination - Waiver Care Coordination
LBN: Southcentral Foundation
Care Coordination - Waiver Care Coordination is an health care organization with primary practice located at 4160 Tudor Centre Dr , Anchorage AK 99508-5901. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management. Agencies / Case Management is the primary health care specialty.
Southcentral Foundation can be contacted via phone (907) 729-6365, or through Olson, Ronald Lee via phone (907) 729-4939.
Contact Information
Primary practice address
4160 Tudor Centre Dr
Anchorage AK 99508-5901
Phone: (907) 729-6365
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 20467 | Alaska |
| Agencies / Case Management | 251B00000X | 20467 | Alaska |
Profile Details
| NPI number | 1164690459 |
|---|---|
| LBN Legal business name | Southcentral Foundation |
| DBA Doing business as | Care Coordination - Waiver Care Coordination |
| Authorized official | Olson, Ronald Lee |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 20th, 2008 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164690459 | NPPES |
| Alaska | MEDICAID | 1002717 |
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