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CHITINA CLINIC - SCF PRIMARY CARE
NPI 1477377661
Clinic/Center - Community Health in Chitina, AK

Active since November 13, 2024CLIA 02D0923971 · Microscopy
MILE 28.5 EDGERTON HWY, CHITINA, AK 99566(907) 823-2215 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 18, 2024, Nov 13, 2024 (2 updates tracked since 2024).

About Chitina Clinic - Scf Primary Care NPPES

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

CHITINA CLINIC - SCF PRIMARY CARE (NPI 1477377661) is a healthcare organization registered as a community health in Chitina, Alaska and active in the NPI registry since November 2024. The organization holds a CLIA Microscopy certificate valid through May 31, 2027 and lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1477377661
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location AddressMILE 28.5 EDGERTON HWYChitina, AK 99566
Mailing AddressPo Box 35198Seattle, WA 98124-5198 · (907) 729-4953
Phone(907) 823-2215
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (701) 729-4939
Enumeration DateNovember 13, 2024
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
✔ NPI 1477377661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
MILE 28.5 EDGERTON HWY, Chitina, AK 99566
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Other Names 1

Doing Business AsChitina Clinic - Scf Primary Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 02D0923971

Chitina Clinic · Chitina, AK
Active · expires May 31, 2027
CLIA Number02D0923971
Laboratory TypeOther
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorDr. Daniel Griffis
Laboratory Phone(907) 729-1230
Laboratory LocationChitina ClinicMile 28 Edgerton Highway, Chitina, AK 99566
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

SARA A MACDOUGALL CHA
Community Health Worker
MILE 28.5 EDGERTON HWY
CHITINA, AK 99566
Copper River (907) 823-2213
CHITINA TRADITIONAL INDIAN VILLAGE COUNCIL
Clinic/Center (Community Health)
MILE 28.5 EDGERTON HWY
CHITINA, AK 99566
Copper River (907) 823-2213

Frequently Asked Questions

What is SOUTHCENTRAL FOUNDATION's NPI number?

The NPI number assigned to this healthcare provider is 1477377661, enumerated as an "organization" on November 13, 2024.

Where is the provider located?

The provider is located at MILE 28.5 EDGERTON HWY CHITINA, AK 99566 and the phone number is (907) 823-2215.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.