Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southcentral Foundation

Organization Registered Dietitian · NPI 1689194250

Southcentral Foundation provides Registered Dietitian services in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2017.

Licensed in
AK
In the registry since
2017

Practice location Address checks out

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Phone: (907) 729-8624
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 20467 (AK)

Record details

NPI number1689194250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Olson — Vp Of Finance · (907) 729-8624
NPI enumeratedJune 23, 2017
Last updated in NPPESJune 23, 2017
Mailing address4501 Diplomacy Dr, Anchorage, AK 99508-5919

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