Southcentral Foundation

LBN: Southcentral Foundation
Southcentral Foundation is an health care organization with primary practice located at 1001 S Knik Goose Bay Rd , Wasilla AK 99654-8083. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as 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
Fax: (907) 631-7619
Website:
Authorized official contact:
Name: Olson, Ronald Lee

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 20467 Alaska

Profile Details

NPI number 1760739601
LBN Legal business name Southcentral Foundation
DBA Doing business as
Authorized official Olson, Ronald Lee
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2012
Last updated Aug 21st, 2014 - about 10 years ago

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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