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Southcentral Foundation
Multi-Specialty Clinic/Center in Iliamna, Alaska
NPI 1912954272

Southcentral Foundation is a Multi-Specialty Clinic/Center based in Seattle, AK and is specialized in Multi-Specialty. Southcentral Foundation practices in Iliamna, AK. The NPI Number for Southcentral Foundation is 1912954272 and holds a License No. 20467 (Alaska).

The current practice location address for Southcentral Foundation is 101 Airport Road, Iliamna, AK and can be reached out via phone at 907-571-1818.

Location: 101 Airport Road, Iliamna, AK, 98124-5198
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912954272
Provider Name
Southcentral Foundation
Credential
Provider Entity Type
Organization
Address
101 Airport Road, Iliamna, AK, 98124-5198
Phone Number
907-571-1818
Fax Number
Provider Enumeration Date
05/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000810 05 AK
institution
Provider Business Practice Location Address Details
Address
101 Airport Road
City
Iliamna
State
Alaska
Zip
99606
Phone Number
907-571-1818
Fax Number
person
Provider Business Mailing Address Details
Address
101 Airport Road
City
Iliamna
State
Alaska
Zip
99606
Phone Number
907-571-1818
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
20467 (Alaska)
Definition
Definition to come...
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