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Southcentral Foundation

Multi-Specialty Clinic/Center in Wasilla, AK · enumerated 2006 · authorized official Ronald Olson, Executive Vice President Finance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386680056

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Registry record

Entity type Organization (Type 2)
Legal business name Southcentral Foundation
Other name <Unavail>
Parent organization Southcentral Foundation
Practice address 1001 S Knik Goose Bay Rd, Wasilla, AK, 99654
Enumeration date Jun 21, 2006
Last updated in NPPES Jun 5, 2026

Taxonomy & classification

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities · License 20467 (AK) Primary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License 20467 (AK) Secondary

Authorized official

Name Ronald Olson
Title Executive Vice President Finance

Other identifiers

Identifier Type State Issuer
1020925 Medicaid AK
1000873 Medicaid AK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

Where is Southcentral Foundation located?
The practice location on file with NPPES is in Wasilla, AK.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-06-05. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-05.