SOUTHCENTRAL FOUNDATION
NPI 1174027296
Clinic/Center - Multi-Specialty in Anchorage, AK
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
About SOUTHCENTRAL FOUNDATION
This page provides the complete NPI Profile along with additional information for Southcentral Foundation, a provider established in Anchorage, Alaska operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1174027296 assigned on March 2018. The practitioner's primary taxonomy code is 261QM1300X with license number 20467 (AK). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ronald Lee Olson (Executive Vice President Finance)
- NPI
- 1174027296 Verify this NPI
- Provider Name
- SOUTHCENTRAL FOUNDATION
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 4441 DIPLOMACY DR ANCHORAGE, AK 99508
- Location Phone
- (907) 729-4955
- Mailing Address
- PO BOX 35198 SEATTLE, WA 98124
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-22-2018
- Last Update Date
- 04-04-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 20467
- License State
- AK
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1688797 | MEDICAID (05) | AK |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174027296, enumerated as an "organization" on March 22, 2018.
The provider is located at 4441 DIPLOMACY DR ANCHORAGE, AK 99508 and the phone number is (907) 729-4955.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.
