SOUTHCENTRAL FOUNDATION (NPI# 1215128509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215128509 |
| Entity Type | Organization |
| Organization Name | SOUTHCENTRAL FOUNDATION |
| Practice Address |
4320 Diplomacy Dr Anchorage AK 99508-5925 |
| Mailing Address |
4501 Diplomacy Dr Attn: Provider Enrollment Anchorage AK 99508-5919 |
| Practice Telephone | 9077293300 |
| Mailing Telephone | 9077294955 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | RONALD LEE OLSONE (VP FINANCE) |
| Authorized Official Telephone | 9077294939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 20467 | AK | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466204 | Southcentral Foundation | Clinic/Center | 11495 N Callison St, Sutton, AK 99674 | 2020-08-06 |
| 1528600947 | Southcentral Foundation | Clinic/Center | 6901 E Tudor Rd Ste 8, Anchorage, AK 99507-1254 | 2019-10-17 |
| 1639722069 | Southcentral Foundation | Community/Behavioral Health | 4175 Tudor Centre Dr, Anchorage, AK 99508-5917 | 2019-07-24 |
| 1659924025 | Southcentral Foundation | Community/Behavioral Health | 4341 Tudor Centre Dr Ste 300, Anchorage, AK 99508-5904 | 2019-07-24 |
| 1720548035 | Southcentral Foundation | Clinic/Center | 4441 Diplomacy Dr Fl 5, Anchorage, AK 99508-5910 | 2019-03-22 |
| 1750854089 | Southcentral Foundation | Clinic/Center | 400 W Benson Blvd, Anchorage, AK 99503-3829 | 2019-01-09 |
| 1639652662 | Southcentral Foundation | Clinic/Center | 26341 Eklutna Village Rd, Chugiak, AK 99567-5148 | 2018-09-14 |
| 1811420391 | Southcentral Foundation | Clinic/Center | 1021 E 3rd Ave, Anchorage, AK 99501-6102 | 2017-04-11 |
| 1043767940 | Southcentral Foundation | Dentist | 11495 N. Callison Street, Sutton, AK 99674 | 2016-09-08 |
| 1689021776 | Southcentral Foundation | Clinic/Center | 755 A St, Anchorage, AK 99501-3625 | 2016-05-18 |
| Street Address |
4320 DIPLOMACY DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536104 | Cynthia Aguiar | Pharmacist | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2005-05-24 |
| 1164023594 | Stacie Ann Williamson | Counselor | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-11-03 |
| 1235739590 | Tiffany Ma | Pharmacist | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-10-27 |
| 1124627922 | Southcentral Foundation | Pharmacy | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-10-22 |
| 1689281834 | Jessica Anahy Martinez | Counselor | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-09-30 |
| 1801400494 | Ariel Nicole Moilanen | Counselor | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-09-01 |
| 1407466386 | Timothy Lee Griffin | Counselor | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-08-05 |
| 1073122065 | Kobe Keo Liftee Thammavongsa | Registered Nurse | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-07-27 |
| 1225653041 | Destiny Steward | Behavior Technician | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-06-09 |
| 1003430240 | Edward Washington II | Counselor | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-06-03 |
| Find all providers in the same location | ||||
| 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 |
| 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 |
| 1083825418 | Southcentral Foundation Pdn | General Acute Care Hospital | 4155 Tudor Centre Dr Ste 103, Attn Sherry Reedy, Anchorage, AK 99508-5912 | 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.