TRIBAL- ST. PAUL COMMUNITY HEALTH CENTER
NPI 1922405406
Clinic/Center - Multi-Specialty in St Paul, AK

Active since November 26, 2014
1000 POLOVINA TURNPIKE, ST PAUL, AK 99660(907) 546-8300 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Multi-Specialty
  • Accepts Insurance

About TRIBAL- ST. PAUL COMMUNITY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Tribal- St. Paul Community Health Center, a provider established in St Paul, Alaska operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1922405406 assigned on November 2014. 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 3 years ago. The provider's is doing business as Tribal- St. Paul Community Health Center. The authorized official of this NPI record is Ronald Lee Olson (Executive Vice President Finance)

NPI
1922405406 Verify this NPI
Provider Legal Name
SOUTHCENTRAL FOUNDATION
Other Organization Name
TRIBAL- ST. PAUL COMMUNITY HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1000 POLOVINA TURNPIKE ST PAUL, AK 99660
Location Phone
(907) 546-8300
Mailing Address
PO BOX 35198 SEATTLE, WA 98124
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-26-2014
Last Update Date
09-18-2023
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RONALD LEE OLSON

Authorized Official Title
EXECUTIVE VICE PRESIDENT FINANCE
Authorized Official Phone
(907) 729-4939

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
1627061MEDICAID (05)AK 

Reviews for TRIBAL- ST. PAUL COMMUNITY HEALTH CENTER

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Registered Nurse
1000 POLOVINA TURNPIKE
SAINT PAUL ISLAND, AK 99660
Community Health Worker
1000 POLOVINA TURNPIKE
ST. PAUL ISLAND, AK 99660
Counselor (Addiction (Substance Use Disorder))
1000 POLOVINA TURNPIKE
SAINT PAUL, AK 99660
Community Health Worker
1000 POLOVINA TURNPIKE
ST PAUL, AK 99660
Dentist (General Practice)
1000 POLOVINA TURNPIKE
ST PAUL, AK 99660
Clinic/Center (Community Health)
1000 POLOVINA TURNPIKE
ST. PAUL ISLAND, AK 99660
Community/Behavioral Health
1000 POLOVINA TURNPIKE
ST PAUL, AK 99660
Nurse Practitioner (Family)
1000 POLOVINA TURNPIKE
SAINT PAUL, AK 99660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922405406, enumerated as an "organization" on November 26, 2014.

The provider is located at 1000 POLOVINA TURNPIKE ST PAUL, AK 99660 and the phone number is (907) 546-8300.

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.