SOUTHCENTRAL FOUNDATION OPT


Address: 4341 Tudor Centre Dr, Attn Sherry Reedy, Anchorage, AK 99508-5904
Phone: 9077293971

SOUTHCENTRAL FOUNDATION OPT (NPI# 1265643696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265643696
Entity Type Organization
Organization Name SOUTHCENTRAL FOUNDATION OPT
Practice Address 4341 Tudor Centre Dr
Attn Sherry Reedy
Anchorage
AK 99508-5904
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282N00000X General Acute Care Hospital 20467 AK Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
AK CL0670 05

Office Location

Street Address 4341 TUDOR CENTRE DR
ATTN SHERRY REEDY
City ANCHORAGE
State AK
Zip Code 99508-5904

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851341416 Kerry Jae Ozer Psychiatry & Neurology 4341 Tudor Centre Dr, Third Floor, Anchorage, AK 99508-5904 2006-05-12
1548826332 Kayla Knight Case Manager/Care Coordinator 4341 Tudor Centre Dr, Anchorage, AK 99508-5904 2019-05-16
1730745696 Erik Eckberg Counselor 4341 Tudor Centre Dr, Anchorage, AK 99508-5904 2019-05-16
1588138275 Dustin William Allen Counselor 4341 Tudor Centre Dr, Anchorage, AK 99508 2019-01-15
1740788223 Southcentral Foundation Community Health Worker 4341 Tudor Centre Dr, Anchorage, AK 99508-5904 2018-01-30
1306367669 Ekaterina Vladimir Kalachevskiy Counselor 4341 Tudor Centre Dr, Anchorage, AK 99508-5904 2017-06-27
1730638933 Jaslyn F Wren Dental Therapist 4341 Tudor Centre Dr, Fireweed Dental Building, Anchorage, AK 99508-5904 2016-09-28
1477945400 Nathon Allan Blackburn Dentist 4341 Tudor Centre Dr, Fireweed Dental, Anchorage, AK 99508-5904 2015-02-27
1902162977 Janece W Richard Counselor 4341 Tudor Centre Dr, 3rd Floor, Anchorage, AK 99508-5904 2012-04-04
1508137217 Lisa M Alexia Physician Assistant 4341 Tudor Centre Dr, Anchorage, AK 99508-5904 2012-01-26
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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
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Competitor

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City ANCHORAGE
Zip Code 99508

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Dataset Information

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.

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