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Southcentral Foundation
Community Health Clinic/Center in Tyonek, Alaska
NPI 1609232040

Southcentral Foundation is a Community Health Clinic/Center based in Seattle, AK and is specialized in Community Health. Southcentral Foundation practices in Tyonek, AK. The NPI Number for Southcentral Foundation is 1609232040 and holds a License No. 20467 (Alaska).

The current practice location address for Southcentral Foundation is 101 Indian Creek Road, Tyonek, AK and can be reached out via phone at 907-583-2461.

Location: 101 Indian Creek Road, Tyonek, AK, 98124-5198
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609232040
Provider Name
Southcentral Foundation
Credential
Provider Entity Type
Organization
Address
101 Indian Creek Road, Tyonek, AK, 98124-5198
Phone Number
907-583-2461
Fax Number
Provider Enumeration Date
01/14/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1643601 05 AK
institution
Provider Business Practice Location Address Details
Address
101 Indian Creek Road
City
Tyonek
State
Alaska
Zip
99682
Phone Number
907-583-2461
Fax Number
person
Provider Business Mailing Address Details
Address
101 Indian Creek Road
City
Tyonek
State
Alaska
Zip
99682
Phone Number
907-583-2461
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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