institution
Southcentral Foundation
Multi-Specialty Clinic/Center in St Paul, Alaska
NPI 1922405406

Southcentral Foundation is a Multi-Specialty Clinic/Center based in Seattle, AK and is specialized in Multi-Specialty. Southcentral Foundation practices in St Paul, AK. The NPI Number for Southcentral Foundation is 1922405406 and holds a License No. 20467 (Alaska).

The current practice location address for Southcentral Foundation is 1000 Polovina Turnpike, St Paul, AK and can be reached out via phone at 907-546-8300. You can also correspond with Southcentral Foundation through the mailing address at PO BOX 35198, SEATTLE, WA - 98124-5198 (mailing address contact number: ).

Location: 1000 Polovina Turnpike, St Paul, AK, 98124-5198
institution
Provider Profile Details
NPI Number
1922405406
Provider Name
Southcentral Foundation
Credential
Provider Entity Type
Organization
Address
1000 Polovina Turnpike, St Paul, AK, 98124-5198
Phone Number
907-546-8300
Fax Number
Provider Enumeration Date
11/26/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1627061 05 AK
institution
Provider Business Practice Location Address Details
Address
1000 Polovina Turnpike
City
State
Zip
99660
Phone Number
907-546-8300
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 35198
City
State
Zip
98124-5198
Phone Number
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...
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