Southcentral Foundation
Southcentral Foundation is a healthcare organization registered as General Practice Dentistry in Iliamna, AK, holding Type 2 (organization) NPI 1396292298 since 2016. The authorized official on file is Ronald Olson, Executive Vice President Finance.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1396292298 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Southcentral Foundation |
| Other name | <Unavail> |
| Parent organization | Southcentral Foundation |
| Practice address | 101 AIRPORT ROAD, Iliamna, AK, 99606 |
| Phone | 9075711818 |
| Enumeration date | 2016-09-08 |
| Last updated in NPPES | 2023-09-05 |
Authorized official
| Name | Ronald Olson |
|---|---|
| Title | Executive Vice President Finance |
| Phone | 9077294939 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 20467 | AK |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1654555 | Medicaid | AK | — |
Copy-ready billing details
Provider: Southcentral Foundation NPI: 1396292298 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 101 AIRPORT ROAD, Iliamna, AK, 99606
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1912954272 | Southcentral Foundation | Organization | Multi-Specialty Clinic/Center | Iliamna, AK |
| 1952318735 | Anne Dailey | Individual | Physician Assistant | Iliamna, AK |
| 1952417792 | Suzanne Milette | Individual | Physician Assistant | Iliamna, AK |
| 1538758867 | Jacqueline Jensen | Individual | Counselor | Iliamna, AK |
| 1750961918 | Southcentral Foundation | Organization | Dental Clinic/Center | Iliamna, AK |
Verify this record
Cross-check NPI 1396292298 against the authoritative CMS record: view Southcentral Foundation on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Southcentral Foundation?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-09-05.