Organization · Type 2 NPI

Southcentral Foundation

Community/Behavioral Health Agency · Wasilla, AK

NPI number 1003469719 Active

Practice location

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083

Call (907) 631-7800 Map

Mailing address

PO Box 35198
Seattle, WA 98124-5198

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

107 other providers at this address

Other community/behavioral health agency providers in Wasilla

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NPI record

NPI: 1003469719
Entity type: Organization (Type 2)
Issued: Jul 22, 2019
Last updated: Jun 5, 2026
Status: Active
Subpart: Yes of Southcentral Foundation

Other names

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BH 1115- Benteh Nuutah Primary Care Center · doing business as
Sud/bh 1115- Vnpcc · doing business as

Authorized official

Ronald Lee Olson
Executive Vice President of Finance
(907) 729-4939

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About NPI 1003469719

Southcentral Foundation's National Provider Identifier is 1003469719, issued on Jul 22, 2019. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Wasilla, AK. The record was last updated on Jun 5, 2026.