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Southcentral Foundation
Community Health Clinic/Center in Kokhanok, Alaska
NPI 1043689169

Southcentral Foundation is a Community Health Clinic/Center based in Seattle, AK and is specialized in Community Health. Southcentral Foundation practices in Kokhanok, AK. The NPI Number for Southcentral Foundation is 1043689169 and holds a License No. 20467 (Alaska).

The current practice location address for Southcentral Foundation is 1008 Main Street, Kokhanok, AK and can be reached out via phone at 907-282-2203.

Location: 1008 Main Street, Kokhanok, AK, 98124-5198
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043689169
Provider Name
Southcentral Foundation
Credential
Provider Entity Type
Organization
Address
1008 Main Street, Kokhanok, AK, 98124-5198
Phone Number
907-282-2203
Fax Number
Provider Enumeration Date
09/18/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1637733 05 AK
institution
Provider Business Practice Location Address Details
Address
1008 Main Street
City
Kokhanok
State
Alaska
Zip
99606
Phone Number
907-282-2203
Fax Number
person
Provider Business Mailing Address Details
Address
1008 Main Street
City
Kokhanok
State
Alaska
Zip
99606
Phone Number
907-282-2203
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
20467 (Alaska)
Definition
Definition to come...
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