Organization · Type 2 NPI

Southcentral Foundation

Community/Behavioral Health Agency · Chugiak, AK

NPI number 1144830837 Active

Practice location

26341 Eklutna Village Rd
Chugiak, AK 99567-5148

Call (907) 688-6031 Map

Fax (907) 688-6021

Mailing address

PO Box 35198
Chugiak, AK 99567-5148

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…

4 other providers at this address

NPI record

NPI: 1144830837
Entity type: Organization (Type 2)
Issued: Aug 6, 2020
Last updated: Aug 17, 2020
Status: Active

Other names

<unavail>
Eklutna BH · doing business as
Eklutna BH · former legal business name
Eklutna BH · former legal business name

Authorized official

Ronald Lee Olson
VP of Revenue
(701) 729-4939

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144830837

Southcentral Foundation's National Provider Identifier is 1144830837, issued on Aug 6, 2020. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Chugiak, AK. The record was last updated on Aug 17, 2020.