TRIBAL - PEDRO BAY COMMUNITY HEALTH CLINIC
NPI 1952770307
Clinic/Center - Community Health in Pedro Bay, AK

Active since September 16, 2015
2516 MOUNTAIN CIRCLE, PEDRO BAY, AK 99647(907) 850-2229 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tribal - Pedro Bay Community Health Clinic NPPES

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

TRIBAL - PEDRO BAY COMMUNITY HEALTH CLINIC (NPI 1952770307) is a healthcare organization registered as a community health in Pedro Bay, Alaska and active in the NPI registry since September 2015. The organization lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1952770307
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address2516 MOUNTAIN CIRCLEPedro Bay, AK 99647
Mailing AddressPo Box 35198Seattle, WA 98124-5198
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (907) 729-4939
Enumeration DateSeptember 16, 2015
Last NPPES UpdateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
NPI 1952770307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License Licensed in AK · 20467
2516 MOUNTAIN CIRCLE, Pedro Bay, AK 99647

Other Names 1

Doing Business AsTribal - Pedro Bay Community Health Clinic

Other Identifiers 1

Medicaid1637731AK

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
2516 MOUNTAIN CIRCLE
PEDRO BAY, AK 99647
Community Health Worker
2516 MOUNTAIN CIRCLE
PEDRO BAY, AK 99647
Community/Behavioral Health
2516 MOUNTAIN CIRCLE
PEDRO BAY, AK 99647

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 1952770307. It was assigned to this organization in the NPPES registry on September 16, 2015. The provider is doing business as Tribal - Pedro Bay Community Health Clinic.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 2516 Mountain Circle, Pedro Bay, AK 99647. The listed phone number is (907) 850-2229.

What is Southcentral Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Southcentral Foundation was last updated on September 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.