Southcentral Foundation
Southcentral Foundation is a Community/Behavioral Health Agency in St. Paul, Alaska. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
1000 Polovina TpkeSt. Paul, AK 99660
Phone: (907) 546-2310
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1831596311 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ronald Olson — Vp Finance · (907) 729-4939 |
| Other names | Bh 1115- St Paul Community Health Center |
| NPI enumerated | November 26, 2014 |
| Last updated in NPPES | July 12, 2024 |
| Certification date | July 12, 2024 |
| Mailing address | 4501 Diplomacy Dr, Attn: Provider Enrollment Services, Anchorage, AK 99508-5919 |