SOUTHCENTRAL FOUNDATION (NPI# 1790192433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790192433 |
| Entity Type | Organization |
| Organization Name | SOUTHCENTRAL FOUNDATION |
| Practice Address |
4201 Tudor Centre Dr Anchorage AK 99508-5914 |
| Practice Telephone | 9077293300 |
| Mailing Telephone | 9077293300 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |
| Authorized Official Name | RONALD LEE OLSON (VP FINANCE) |
| Authorized Official Telephone | 9077294939 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHCENTRAL FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
20467 | AK | Ambulatory Health Care Facilities |
| 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 |
4201 TUDOR CENTRE DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568435113 | Ronald A Feigin | Psychiatry & Neurology | 4201 Tudor Centre Dr, Suite 303, Anchorage, AK 99508-5904 | 2006-02-13 |
| 1497397541 | Sandra Cherise Cummings | Physical Therapy Assistant | 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 | 2019-10-10 |
| 1578114922 | Allison Schreck | Physical Therapy Assistant | 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 | 2019-09-26 |
| 1629629142 | Sherilyn Soots | Physical Therapy Assistant | 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 | 2019-09-25 |
| 1639653561 | Monica Gallagher | Massage Therapist | 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 | 2018-09-17 |
| 1871025262 | Wendy Olsen | Massage Therapist | 4201 Tudor Centre Dr, Third Floor, Anchorage, AK 99508-5914 | 2017-04-03 |
| 1184964199 | Christinejoy Cunanan Bilbao | Physical Therapy Assistant | 4201 Tudor Centre Dr, Anchorage, AK 99508-5904 | 2013-02-28 |
| 1174889828 | Kelly Anne Campbell | Social Worker | 4201 Tudor Centre Dr, Suite #300, Anchorage, AK 99508-5904 | 2012-04-06 |
| 1841594827 | Southcentral Foundation | Dietary Manager | 4201 Tudor Centre Dr, Attn: Diabetes Education, Anchorage, AK 99508-5904 | 2011-01-05 |
| 1083887749 | Jeoffrey Walter Lanfear | Nurse Practitioner | 4201 Tudor Centre Dr, Suite 320, Anchorage, AK 99508-5904 | 2008-04-02 |
| 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 | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617747 | Aurora Physical Therapy, LLC | Clinic/Center | 12601 Bona Kim Loop, Anchorage, AK 99515-4328 | 2020-04-10 |
| 1700445061 | Community Physical Therapy, Inc. | Clinic/Center | 4101 Arctic Blvd Ste 102, Anchorage, AK 99503-5702 | 2019-06-11 |
| 1407291719 | Alaska Spine Institute | Clinic/Center | 6310 Habicht Ct, Anchorage, AK 99504-1063 | 2013-05-01 |
| 1083967822 | Alaska Therapeutic & Aquatic Specialists LLC | Clinic/Center | 4800 Ridge Top Cir, Anchorage, AK 99508-3793 | 2012-10-17 |
| 1649590530 | Reger Enterprises, LLC | Clinic/Center | 510 W Tudor Rd Ste 2, Anchorage, AK 99503-6649 | 2010-06-03 |
| 1558568766 | Denali Physical Therapy Limited Partnership | Clinic/Center | 751 East 36th Ave, Suite 100, Anchorage, AK 99503 | 2007-06-29 |
| 1609915347 | South Anchorage Physical Therapy Inc | Clinic/Center | 300 E Dimond Blvd Ste 16, Anchorage, AK 99515-1949 | 2007-02-06 |
| 1528126794 | Ascension Physical Therapy LLC | Clinic/Center | 6200 Lake Otis Pkwy, Ste 104, Anchorage, AK 99507 | 2006-12-04 |
| 1407888902 | Rebound Sports and Orthopedic Physical Therapy, LLC | Clinic/Center | 11260 Old Seward Hwy, Anchorage, AK 99515-3038 | 2006-07-07 |
| 1316440100 | Body Systems Limited Liability Company | Clinic/Center | 5185 W 80th Ave, Anchorage, AK 99502-4114 | 2018-03-17 |
| 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.