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Southcentral Foundation

Dental Clinic/Center in Iliamna, AK · enumerated 2021 · authorized official Ronald Olson, Executive Vice President Finance.

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

National Provider Identifier

1750961918

Verified

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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 101 Airport Road, Iliamna, AK, 99606
Phone (907) 571-1818
Enumeration date Apr 12, 2021
Last updated in NPPES Sep 15, 2023

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Secondary
125J00000X Dental Therapist Dental Providers Secondary
261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Ronald Olson
Title Executive Vice President Finance
Phone (907) 729-4939

Other identifiers

Identifier Type State Issuer
1654555 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

What is the NPI number for Southcentral Foundation?
The NPI for Southcentral Foundation is 1750961918, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Southcentral Foundation?
NPPES lists Ronald Olson (Executive Vice President Finance) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-09-15.