Southcentral Foundation
Southcentral Foundation is a healthcare organization registered as Dental Clinic/Center in Iliamna, AK, holding Type 2 (organization) NPI 1750961918 since 2021. The authorized official on file is Ronald Olson, Executive Vice President Finance.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1750961918 |
|---|---|
| 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 | 2021-04-12 |
| Last updated in NPPES | 2023-09-15 |
Authorized official
| Name | Ronald Olson |
|---|---|
| Title | Executive Vice President Finance |
| Phone | 9077294939 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Secondary | — | — |
| 125J00000X | Dental Therapist | Secondary | — | — |
| 261QD0000X | Dental Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1654555 | Medicaid | AK | — |
Copy-ready billing details
Provider: Southcentral Foundation NPI: 1750961918 Taxonomy: 261QD0000X (Dental Clinic/Center) 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 |
| 1396292298 | Southcentral Foundation | Organization | General Practice Dentistry | Iliamna, AK |
| 1538758867 | Jacqueline Jensen | Individual | Counselor | Iliamna, AK |
Verify this record
Cross-check NPI 1750961918 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 the NPI number for Southcentral Foundation?
Who is the authorized official for Southcentral Foundation?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-09-15.