Southcentral Foundation in Port Alsworth, AK
This location of Southcentral Foundation bills under NPI 1114480167, an organization record issued on Apr 8, 2019 with the primary taxonomy Dental Clinic/Center. It is one of 137 NPIs registered under this name and one of 4 in Port Alsworth; each clinician who sees you there has their own NPI and license.
- Legal name
- Southcentral Foundation
- Entity
- Type 2 · organization, a subpart
- Parent organization
- Southcentral Foundation
- Primary taxonomy
- Dental Clinic/Center 261QD0000X
- Practice location
- 1 FLIGHT LINE RD, Port Alsworth, AK 99653
- Phone
- 907-781-2256
- Mailing address
- Seattle, WA
- Enumerated
- Apr 8, 2019
- Record updated
- Aug 31, 2023
- Authorized official
- Executive Vice President Finance (title as filed)
The other 3 Port Alsworth NPIs
- Southcentral Foundation1 FLIGHT LINE RD · issued Sep 30, 20151770953903
- Southcentral Foundation1 FLIGHT LINE ROAD · issued Feb 4, 20161639537640
- Southcentral Foundation1 FLIGHT LINE RD · issued Nov 18, 20201902409337
10 clinicians CMS lists with Southcentral Foundation in Port Alsworth
- Juliana Abreu, PAPhysician Assistant1083058408
- Sarah Ferroni, FNPFamily Nurse Practitioner1679081889
- Daniel Griffis, MDFamily Medicine Physician1063499010
- James Henkelman, LCSW, MSWClinical Social Worker1700056975
- David Johnson, ARNPFamily Nurse Practitioner1922703818
- Kendra Lee, NPFamily Nurse Practitioner1386143501
- Julie Mueller, PA-CMedical Physician Assistant1831205665
- Danise Petticrew, RN, FNP-CFamily Nurse Practitioner1952359200
- Lisa Stimpson, FNPFamily Nurse Practitioner1558986521
- Micah Willis, FNPFamily Nurse Practitioner1659567832
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Every location registered under this name, in 17 cities.
See every locationChecking an organization
- Confirm the business with the Alaska secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
Common questions
Why is the mailing address in Washington?
The mailing address in the record (Seattle, WA) is where the organization receives mail. Care is given at the practice location in Port Alsworth.
What does subpart mean?
The organization registered this NPI as a subpart: a part of the organization, such as a location, that bills under its own NPI.
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Which Port Alsworth NPI should I use?
Ask the office which NPI it bills under; all 4 Port Alsworth NPIs are registered under the same name.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.