TRIBAL- CENTENNIAL CENTER CLINIC
NPI 1306503578
Clinic/Center - Multi-Specialty in Anchorage, AK

Active since November 23, 2021
9131 CENTENNIAL CIR, ANCHORAGE, AK 99504(907) 729-4955 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 1, 2023, Nov 23, 2021 (2 updates tracked since 2021).

About Tribal- Centennial Center Clinic NPPES

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

TRIBAL- CENTENNIAL CENTER CLINIC (NPI 1306503578) is a healthcare organization registered as a multi-specialty in Anchorage, Alaska and active in the NPI registry since November 2021. The organization lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1306503578
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address9131 CENTENNIAL CIRAnchorage, AK 99504-1482
Mailing AddressPo Box 35198Seattle, WA 98124-5198
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (907) 729-4939
Enumeration DateNovember 23, 2021
Last NPPES UpdateSeptember 1, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1306503578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
9131 CENTENNIAL CIR, Anchorage, AK 99504

Other Names 1

Doing Business AsTribal- Centennial Center Clinic

Other Identifiers 1

Medicaid1728771AK

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tribal- Centennial Center Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

457

Medicare enrollment records show 457 clinicians reassign Medicare billing to Tribal- Centennial Center Clinic, which bills Medicare for the services they deliver. Of these, 307 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Nurse Practitioner95
Mental Health Counselor50
Family Practice45
Pediatric Medicine42
Clinical Social Worker34
Psychiatry29
Obstetrics/Gynecology28
Physical Therapist in Private Practice28
16 other specialties106

Nearest to this location (20)

See all 457
Nurse Practitioner
NPI 1962625921
ALASKA NATIVE MEDICAL CENTER 4315 DIPLOMACY DRIVE
Anchorage, AK 99508
(907) 729-1070
✔ PECOS1.1 mi
Clinical Social Worker
NPI 1831626225
1201 N MULDDON RD
Anchorage, AK 99504
(907) 257-4700
✔ PECOS1.1 mi
Pediatric Medicine
NPI 1073507364
5955 ZEAMER AVE 673D MDG
Jber, AK 99506
(907) 580-2908
✔ PECOS1.2 mi
Certified Nurse Midwife (CNM)
NPI 1629392915
5955 ZEAMER AVE 673D MDG
Jber, AK 99506
(907) 580-4016
✔ PECOS✔ Accepts Medicare1.3 mi
Optometry
NPI 1457341034
5955 ZEAMER AVE 3 MDG OPTOMETRY CLINIC
Elmendorf Afb, AK 99506
(907) 580-1150
✔ PECOS1.4 mi
Mental Health Counselor
NPI 1760919633
4000 SAN ERNESTO AVE
Anchorage, AK 99508
(907) 729-5055
✔ PECOS3.1 mi
Physical Therapist in Private Practice
NPI 1265744254
4160 TUDOR CENTRE DR
Anchorage, AK 99508
(907) 729-8624
3.9 mi
Registered Dietitian or Nutrition Professional
NPI 1750414579
4201 TUDOR CENTRE DR
Anchorage, AK 99508
(907) 729-8624
4.0 mi
Family Practice
NPI 1528170677
4201 TUDOR CENTRE DR SUITE #300
Anchorage, AK 99508
(907) 729-8624
✔ PECOS4.0 mi
Chiropractic
NPI 1578374427
4201 TUDOR CENTRE DR
Anchorage, AK 99508
(907) 729-4320
✔ Accepts Medicare4.0 mi
Obstetrics/Gynecology
NPI 1407997356
4501 DIPLOMACY DR SOUTHCENTRAL FOUNDATION
Anchorage, AK 99508
(907) 729-3152
✔ PECOS✔ Accepts Medicare4.0 mi
Occupational Therapist in Private Practice
NPI 1619479748
4501 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-4955
4.0 mi
Psychiatry
NPI 1164476800
4341 TUDOR CENTRE DR
Anchorage, AK 99508
(907) 729-2500
✔ PECOS4.0 mi
Clinical Psychologist
NPI 1124215256
4341 TUDOR CENTRE DR STE 300
Anchorage, AK 99508
(907) 729-2500
✔ PECOS4.0 mi
Qualified Speech Language Pathologist
NPI 1518630391
4441 DIPLOMACY DR
Anchorage, AK 99508
(907) 561-8060
4.0 mi
Qualified Audiologist
NPI 1871991661
3801 UNIVERSITY LAKE DR SOUTHCENTRAL FOUNDATION AUDIOLOGY DEPARTMENT
Anchorage, AK 99508
(907) 729-1400
✔ Accepts Medicare4.0 mi
Osteopathic Manipulative Medicine
NPI 1477059079
4320 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-3300
✔ PECOS✔ Accepts Medicare4.1 mi
General Practice
NPI 1013966977
4320 DIPLOMACY DR SUITE 1191
Anchorage, AK 99508
(907) 729-6321
✔ PECOS✔ Accepts Medicare4.1 mi
Hematology/Oncology
NPI 1255407854
3841 PIPER STREET SUITE T4-020
Anchorage, AK 99508
(907) 929-7337
✔ PECOS✔ Accepts Medicare4.4 mi
Addiction Medicine
NPI 1528094968
4000 LAUREL ST
Anchorage, AK 99508
(907) 729-6300
✔ PECOS4.9 mi
See all 457 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1306503578. It was assigned to this organization in the NPPES registry on November 23, 2021. The provider is doing business as Tribal- Centennial Center Clinic.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 9131 Centennial Cir, Anchorage, AK 99504. The listed phone number is (907) 729-4955.

What is Southcentral Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Southcentral Foundation enrolled in Medicare?

Yes. Southcentral Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southcentral Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 457 clinicians in 24 Medicare specialties reassign their Medicare billing to Southcentral Foundation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (95), Mental Health Counselor (50) and Family Practice (45). Of these, 307 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southcentral Foundation was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.