SOUTHCENTRAL FOUNDATION PDN (NPI# 1083825418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083825418 |
| Entity Type | Organization |
| Organization Name | SOUTHCENTRAL FOUNDATION PDN |
| Practice Address |
4155 Tudor Centre Dr Ste 103 Attn Sherry Reedy Anchorage AK 99508-5912 |
| Practice Telephone | 9077293971 |
| Practice Fax Number | 9077291542 |
| Mailing Telephone | 9077293971 |
| Mailing Fax Number | 9077291542 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | PAUL SHERRY (CEO) |
| Authorized Official Telephone | 9077291905 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 20467 | AK | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | NA6076 | 05 |
| Street Address |
4155 TUDOR CENTRE DR STE 103 ATTN SHERRY REEDY |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659580967 | Southcentral Foundation Medical Center | Durable Medical Equipment & Medical Supplies | 4155 Tudor Centre Dr Ste 103, Attn Sherry Reedy, Anchorage, AK 99508-5912 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518406347 | Patient Housing At Anmc | General Acute Care Hospital | 4001 Tudor Centre Drive, Anchorage, AK 99508-5932 | 2017-02-13 |
| 1801207980 | William Walker | General Acute Care Hospital | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2014-05-12 |
| 1023256989 | Southcentral Foundation | General Acute Care Hospital | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2009-01-30 |
| 1093979932 | Alaska Specialty Hospital, LLC | General Acute Care Hospital | 4800 Cordova St, Anchorage, AK 99503-7218 | 2008-07-10 |
| 1023290855 | Alaska Native Tribal Health Consortium | General Acute Care Hospital | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2007-12-04 |
| 1215128509 | Southcentral Foundation | General Acute Care Hospital | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2007-08-05 |
| 1245439082 | Alaska Native Tribal Health Consortium | General Acute Care Hospital | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2007-07-12 |
| 1265643696 | Southcentral Foundation Opt | General Acute Care Hospital | 4341 Tudor Centre Dr, Attn Sherry Reedy, Anchorage, AK 99508-5904 | 2007-05-25 |
| 1174734503 | Southcentral Foundation | General Acute Care Hospital | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2007-05-25 |
| 1437368891 | Alaska Native Tribal Health Consortium | General Acute Care Hospital | 4315 Diplomacy Dr, Anchorage, AK 99508 | 2007-05-22 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.