institution
Southcentral Foundation
Primary Care Clinic/Center in Wasilla, Alaska
NPI 1386680056

Southcentral Foundation is a Primary Care Clinic/Center based in Seattle, AK and is specialized in Primary Care. Southcentral Foundation practices in Wasilla, AK. The NPI Number for Southcentral Foundation is 1386680056 and holds a License No. 20467 (Alaska).

The current practice location address for Southcentral Foundation is 1001 S Knik Goose Bay Rd, Wasilla, AK and can be reached out via phone at 907-631-7800.

Location: 1001 S Knik Goose Bay Rd, Wasilla, AK, 98124-5198
institution
Provider Profile Details
NPI Number
1386680056
Provider Name
Southcentral Foundation
Credential
Provider Entity Type
Organization
Address
1001 S Knik Goose Bay Rd, Wasilla, AK, 98124-5198
Phone Number
907-631-7800
Fax Number
Provider Enumeration Date
06/21/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1020925 05 AK
1000873 05 AK
institution
Provider Business Practice Location Address Details
Address
1001 S Knik Goose Bay Rd
City
State
Zip
99654-8083
Phone Number
907-631-7800
Fax Number
person
Provider Business Mailing Address Details
Address
1001 S Knik Goose Bay Rd
City
State
Zip
99654-8083
Phone Number
907-631-7800
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
20467 (Alaska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
20467 (Alaska)
Definition
Definition to come...
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