Organization · Type 2 NPI

Southcentral Foundation

Mental Health Clinic/Center (Including Community Mental Health Center) · Wasilla, AK

NPI number 1205138294 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
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

107 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Wasilla

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NPI record

NPI: 1205138294
Entity type: Organization (Type 2)
Issued: Nov 23, 2010
Last updated: Jun 5, 2026
Status: Active
Subpart: Yes of Southcentral Foundation

Other names

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Bsd- Benteh Nuutah Primary Care Center (bnpcc) · doing business as
Bsd- Valley Native Primary Care Center- Vnpcc · doing business as

Authorized official

Ronald Lee Olson
Executive Vice President Finance
(907) 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 1205138294

Southcentral Foundation's National Provider Identifier is 1205138294, issued on Nov 23, 2010. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Wasilla, AK. The record was last updated on Jun 5, 2026.