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Southcentral Foundation

Clinic/Center - Dental

RONALD OLSON
NPI: 1114480167Port Alsworth, Alaska, 99653(907) 781-2256

About Southcentral Foundation

Southcentral Foundation is a healthcare organization providing Clinic/Center - Dental services, with specialized expertise in Dental, registered under National Provider Identifier (NPI) number 1114480167.

The authorized official for Southcentral Foundation is RONALD OLSON. The organization is headquartered at 1 FLIGHT LINE RD, Port Alsworth, Alaska 99653. The main office can be reached at (907) 781-2256.

It is part of SOUTHCENTRAL FOUNDATION. Southcentral Foundation has been NPI-registered since 2019.

Locations & Contact

Primary Location

Address
1 FLIGHT LINE RD
City
Port Alsworth
State
Alaska
ZIP
99653-9801
Phone
(907) 781-2256
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Authorized Official

Name
RONALD OLSON

Mailing Address

Address
PO BOX 35151
City
SEATTLE
State
WA
ZIP
981245151

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Clinic/Center - Dental
Classification
Clinic/Center
Specialization
Dental
Taxonomy Code
261QD0000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No
Group Practice
SOUTHCENTRAL FOUNDATION

Frequently Asked Questions

What is Southcentral Foundation's NPI number?
Southcentral Foundation's National Provider Identifier (NPI) is 1114480167. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Southcentral Foundation specialize in?
Southcentral Foundation specializes in Clinic/Center - Dental.
Where is Southcentral Foundation located?
Southcentral Foundation practices at 1 FLIGHT LINE RD, Port Alsworth, Alaska 99653. You can reach them by phone at (907) 781-2256.
Does Southcentral Foundation accept Medicare?
Based on available data, Southcentral Foundation is not currently enrolled in the Medicare program.
Does Southcentral Foundation offer telehealth or virtual visits?
Southcentral Foundation does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Southcentral Foundation holds NPI 1114480167, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.