SOUTHCENTRAL FOUNDATION (NPI# 1841594827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841594827 |
| Entity Type | Organization |
| Organization Name | SOUTHCENTRAL FOUNDATION |
| Other Organization Name | DIABETES WELLNESS GATHERING PROGRAM |
| Practice Address |
4201 Tudor Centre Dr Attn: Diabetes Education Anchorage AK 99508-5904 |
| Mailing Address |
4501 Diplomacy Dr Attn: Provider Enrollment Anchorage AK 99508-5919 |
| Practice Telephone | 9077294380 |
| Mailing Telephone | 9077294955 |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | RONALD LEE OLSON (VP FINANCE) |
| Authorized Official Telephone | 9077294939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 132700000X | Dietary Manager | 20467 | AK | Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| Diabetes Wellness Gathering Program | 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 |
4201 TUDOR CENTRE DR ATTN: DIABETES EDUCATION |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568435113 | Ronald A Feigin | Psychiatry & Neurology | 4201 Tudor Centre Dr, Suite 303, Anchorage, AK 99508-5904 | 2006-02-13 |
| 1497397541 | Sandra Cherise Cummings | Physical Therapy Assistant | 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 | 2019-10-10 |
| 1578114922 | Allison Schreck | Physical Therapy Assistant | 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 | 2019-09-26 |
| 1629629142 | Sherilyn Soots | Physical Therapy Assistant | 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 | 2019-09-25 |
| 1639653561 | Monica Gallagher | Massage Therapist | 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 | 2018-09-17 |
| 1871025262 | Wendy Olsen | Massage Therapist | 4201 Tudor Centre Dr, Third Floor, Anchorage, AK 99508-5914 | 2017-04-03 |
| 1790192433 | Southcentral Foundation | Clinic/Center | 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 | 2014-07-15 |
| 1184964199 | Christinejoy Cunanan Bilbao | Physical Therapy Assistant | 4201 Tudor Centre Dr, Anchorage, AK 99508-5904 | 2013-02-28 |
| 1174889828 | Kelly Anne Campbell | Social Worker | 4201 Tudor Centre Dr, Suite #300, Anchorage, AK 99508-5904 | 2012-04-06 |
| 1083887749 | Jeoffrey Walter Lanfear | Nurse Practitioner | 4201 Tudor Centre Dr, Suite 320, Anchorage, AK 99508-5904 | 2008-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 132700000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietary Manager |
| A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification. |
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| 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.