SOUTHCENTRAL FOUNDATION NPI 1790144822

NPI Information

  • NPI: 1790144822
  • Provider Name: SOUTHCENTRAL FOUNDATION
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: IGIUGIG BSD CLINIC
  • Address: 4501 DIPLOMACY DR
    ANCHORAGE, AK
    ZIP 99508
  • Phone: (907) 729-3300

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NPI Details

SOUTHCENTRAL FOUNDATION is a mental health (including community mental health center) clinic center in Anchorage, AK. SOUTHCENTRAL FOUNDATION NPI is 1790144822. The provider is registered as an organization entity type.
The provider Is Doing Business As Igiugig Bsd Clinic.

The provider's business location address is:

4501 DIPLOMACY DR
ANCHORAGE, AK
ZIP 99508-919
Phone: (907) 729-3300

The provider's authorized official is Ronald Lee Olson .
The authorized official title is Vp Finance and has the following contact phone number (907) 729-4939.

The enumeration date for this NPI number is 2/17/2016 and was last updated on 2/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)20467ALASKAYes

What is NPI?

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This page was last updated on: 3/30/2025

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