Tribal/Hpg- Valley Native Primary Care Center
LBN: Southcentral Foundation
Tribal/Hpg- Valley Native Primary Care Center is an health care organization with primary practice located at 1001 S Knik Goose Bay Rd , Wasilla AK 99654-8083. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Southcentral Foundation can be contacted via phone (907) 631-7800, or through Olson, Ronald Lee via phone (907) 729-4939.
Contact Information
Primary practice address
1001 S Knik Goose Bay Rd
Wasilla AK 99654-8083
Phone: (907) 631-7800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | 20467 | Alaska |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 20467 | Alaska |
Profile Details
| NPI number | 1386680056 |
|---|---|
| LBN Legal business name | Southcentral Foundation |
| DBA Doing business as | Tribal/Hpg- Valley Native Primary Care Center |
| Authorized official | Olson, Ronald Lee |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Sep 1st, 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 | 1386680056 | NPPES |
| Alaska | MEDICAID | 1020925 | |
| Alaska | MEDICAID | 1000873 |
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