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SOUTHCENTRAL FOUNDATION
NPI 1164669040
Clinic/Center - Primary Care in Anchorage, AK

Active since January 14, 2009
4320 DIPLOMACY DR, ANCHORAGE, AK 99508(907) 729-3300 Get Directions Write a Review

NPPES record last updated: January 28, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Southcentral Foundation NPPES

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

SOUTHCENTRAL FOUNDATION (NPI 1164669040) is a healthcare organization registered as a primary care in Anchorage, Alaska and active in the NPI registry since January 2009. The organization lists Ronald Lee Olson, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1164669040
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address4320 DIPLOMACY DRAnchorage, AK 99508-5925
Mailing Address4501 Diplomacy DrAnchorage, AK 99508-5919 · (907) 729-4955
Phone(907) 729-3300
Organization SubpartNo
Authorized OfficialRonald Lee OlsonVp Finance · (907) 729-4939
Enumeration DateJanuary 14, 2009
Last NPPES UpdateJanuary 28, 2016
✔ NPI 1164669040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in AK · 20467
Also ListedChiropractorTaxonomy 111N00000X · License 20467 (AK)
4320 DIPLOMACY DR, Anchorage, AK 99508
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD WASHINGTON II
Counselor (Mental Health)
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-0000
HEIDI GORDON CRS
Community Health Worker
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-3300
KRISTINA BALLINGER COHEN PHARMD
Pharmacist
4320 DIPLOMACY DR, ANMC PRIMARY CARE CENTER PHARMACY
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-8874
SHANNON CHASE CHAP
Community Health Worker
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-4955
MARY RENEE SPATAFORE PHARMD, RPH
Pharmacist
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2159
RYAN T. MCWILLIAMS MD
Family Medicine
4320 DIPLOMACY DR, SUITE 1191
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-6321
SOUTHCENTRAL FOUNDATION
General Acute Care Hospital
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-3300
SUSANNA PETRIE RN
Registered Nurse
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-3316

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 1164669040. It was assigned to this organization in the NPPES registry on January 14, 2009.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 4320 Diplomacy Dr, Anchorage, AK 99508. The listed phone number is (907) 729-3300.

What is Southcentral Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Southcentral Foundation was last updated on January 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.