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TRIBAL- LIFE HOUSE COMMUNITY HEALTH CENTER
NPI 1043632037
Clinic/Center - Community Health in Sutton, AK

Active since January 10, 2014
11495 N CALLISON STREET, SUTTON, AK 99674(907) 631-7665 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2023, Mar 15, 2016, Feb 4, 2016 (3 updates tracked since 2016).

About Tribal- Life House Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRIBAL- LIFE HOUSE COMMUNITY HEALTH CENTER (NPI 1043632037) is a healthcare organization registered as a community health in Sutton, Alaska and active in the NPI registry since January 2014. The organization lists Ronald Lee Olson, Executive Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1043632037
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address11495 N CALLISON STREETSutton, AK 99674
Mailing AddressPo Box 35198Seattle, WA 98124-5198
Phone(907) 631-7665
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Of Finance · (907) 729-4939
Enumeration DateJanuary 10, 2014
Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1043632037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License✔ Licensed in AK · 20467
11495 N CALLISON STREET, Sutton, AK 99674
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Other Names 1

Doing Business AsTribal- Life House Community Health Center

Other Identifiers 1

Medicaid1607931AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southcentral Foundation's NPI number?

The NPI number for Southcentral Foundation is 1043632037. It was assigned to this organization in the NPPES registry on January 10, 2014. The provider is doing business as Tribal- Life House Community Health Center.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 11495 N Callison Street, Sutton, AK 99674. The listed phone number is (907) 631-7665.

What is Southcentral Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

What insurance does Southcentral Foundation accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Southcentral Foundation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southcentral Foundation was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.