Organization · Type 2 NPI

Southcentral Foundation

Community/Behavioral Health Agency · Anchorage, AK

NPI number 1366973539 Active

Practice location

4501 Diplomacy Dr
Anchorage, AK 99508-5919

Specialties and licenses

Taxonomy	Code	License
Community Health Worker	172V00000X	20467 (AK)
Community/Behavioral Health Agency Primary	251S00000X	20467 (AK)

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…

38 other providers at this address

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NPI record

NPI: 1366973539
Entity type: Organization (Type 2)
Issued: Mar 21, 2017
Last updated: Mar 21, 2017
Status: Active
Subpart: Yes of Southcentral Foundation

Other names

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Behavioral Health Aide Practioner Group · doing business as

Authorized official

Ronald Lee Olson
VP of 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 1366973539

Southcentral Foundation's National Provider Identifier is 1366973539, issued on Mar 21, 2017. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Anchorage, AK. The record was last updated on Mar 21, 2017.