SOUTHCENTRAL FOUNDATION (NPI# 1982804068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982804068 |
| Entity Type | Organization |
| Organization Name | SOUTHCENTRAL FOUNDATION |
| Other Organization Name | SPEECH PATHOLOGY |
| Practice Address |
6901 E Tudor Rd Anchorage AK 99507-1241 |
| Mailing Address |
4201 Tudor Centre Drive Suite 320 Anchorage AK 99508-5904 |
| Practice Telephone | 9077296100 |
| Mailing Telephone | 9077298624 |
| Mailing Fax Number | 9077298607 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2011-02-15 |
| Authorized Official Name | DAVID A MORGAN (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 9077294955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities | ||
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
20467 | AK | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Speech Pathology | Doing Business As Name - Organization |
| 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 |
6901 E TUDOR RD |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99507-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578571022 | Richard Gregorin | Dentist | 6901 E Tudor Rd, Suite 9, Anchorage, AK 99507-1241 | 2006-08-03 |
| 1972050870 | Southcentral Foundation | Dentist | 6901 E Tudor Rd, Anchorage, AK 99507-1254 | 2016-09-08 |
| 1588873384 | Richard Charles Gregorin II | Dentist | 6901 E Tudor Rd, Suite #9, Anchorage, AK 99507-1241 | 2007-05-21 |
| 1871702688 | R C Gregorin II Dds LLC | Clinic/Center | 6901 E Tudor Rd, Suite #9, Anchorage, AK 99507-1241 | 2007-05-21 |
| 1942414933 | Southcentral Foundation | Case Management | 6901 E Tudor Rd, Suite 8, Anchorage, AK 99507-1241 | 2007-05-09 |
| 1851440978 | Southcentral Foundation | Clinic/Center | 6901 E Tudor Rd, Anchorage, AK 99507-1241 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
| 1710599808 | Abracadabra Speech LLC | Speech-Language Pathologist | 6823 Tudor Road, Anchorage, AK 99507 | 2020-08-19 |
| 1487111241 | Fe Comon | Nursing Home Administrator | 1841 E 57th Ave., 1841 E 57th Ave., Anchorage, AK 99507 | 2019-02-27 |
| 1780171249 | Carol Won | Pharmacist | 2550 E. 88th Ave., Anchorage, AK 99507 | 2018-04-19 |
| 1821549411 | Isioma Nwaeme | Registered Nurse | 2529 Rives Court, Anchorage, AK 99507 | 2016-10-18 |
| 1669921268 | Michaelyn Scott | Massage Therapist | 1601 E. Dimond Blvd., Suite 201, Anchorage, AK 99507 | 2016-09-25 |
| 1013387638 | Robert R Croley | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 6, Anchorage, AK 99507 | 2015-09-25 |
| 1124494265 | Ryan Scott Fordt | Chiropractor | 2665 E Tudor Rd Ste 201, Anchorage, AK 99507 | 2015-08-12 |
| 1073907465 | Sarah E Lawrence | Case Manager/Care Coordinator | 1750 Abbott Road, Alzheimer's Resource of Alaska, Anchorage, AK 99507 | 2015-03-24 |
| 1699184507 | Melissa Lingad | Nurse's Aide | 7691 Winchester St., Anchorage, AK 99507 | 2014-08-05 |
| Find all providers in zip 99507 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598814998 | Southcentral Foundation | Clinic/Center | 301 Penland Parkway, Space A14, Anchorage, AK 99508 | 2007-01-09 |
| 1992284608 | Articulate Speech and Language Therapy, LLC | Clinic/Center | 4325 Laurel St Ste 100, Anchorage, AK 99508-5364 | 2018-08-13 |
| 1720497993 | Sound Decisions Audiology LLC | Clinic/Center | 2401 E 42nd Ave, Suite 101, Anchorage, AK 99508-5228 | 2014-08-12 |
| 1447377312 | Alaska Speech and Hearing | Clinic/Center | 4048 Laurel St, Suite 303, Anchorage, AK 99508-5333 | 2007-03-23 |
| 1851440978 | Southcentral Foundation | Clinic/Center | 6901 E Tudor Rd, Anchorage, AK 99507-1241 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619409588 | Raven Speech Therapy | Clinic/Center | 247 S Alaska St, Palmer, AK 99645-6335 | 2017-03-30 |
| 1366984650 | Building Blocks Speech Therapy, LLC | Clinic/Center | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2016-11-17 |
| 1467722595 | Building Blocks Rehab | Clinic/Center | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2012-01-05 |
Please comment or provide details below to improve the information on SOUTHCENTRAL FOUNDATION.
| 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.