Tribal- St. Paul Community Health Center

LBN: Southcentral Foundation
Tribal- St. Paul Community Health Center is an health care organization with primary practice located at 1000 Polovina Turnpike , St Paul AK 99660. 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) 546-8300, or through Olson, Ronald Lee via phone (907) 729-4939.

Contact Information

Primary practice address
1000 Polovina Turnpike St Paul AK 99660
Fax:
Website:
Authorized official contact:
Name: Olson, Ronald Lee

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 20467 Alaska

Profile Details

NPI number 1922405406
LBN Legal business name Southcentral Foundation
DBA Doing business as Tribal- St. Paul Community Health Center
Authorized official Olson, Ronald Lee
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 26th, 2014
Last updated Sep 18th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922405406 NPPES
Alaska MEDICAID 1627061

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