SOUTHCENTRAL FOUNDATION


Address: 4330 Elmore Rd, Anchorage, AK 99508-5907
Phone: 9077295418

SOUTHCENTRAL FOUNDATION (NPI# 1750934188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750934188
Entity Type Organization
Organization Name SOUTHCENTRAL FOUNDATION
Other Organization Name SCF DETOX SUD
Practice Address 4330 Elmore Rd
Anchorage
AK 99508-5907
Mailing Address Po Box 35198
Seattle
WA 98124-5198
Practice Telephone 9077295418
Practice Fax Number 9077298607
Mailing Telephone 9077295418
Mailing Fax Number 9077298607
Enumeration Date 2019-07-24
Last Update Date 2019-08-12
Authorized Official Name RONALD LEE OLSON (VP OF REVENUE CYCLE)
Authorized Official Telephone 7017294939
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
SCF Detox SUD Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407466204 Southcentral Foundation Clinic/Center 11495 N Callison St, Sutton, AK 99674 2020-08-06
1528600947 Southcentral Foundation Clinic/Center 6901 E Tudor Rd Ste 8, Anchorage, AK 99507-1254 2019-10-17
1639722069 Southcentral Foundation Community/Behavioral Health 4175 Tudor Centre Dr, Anchorage, AK 99508-5917 2019-07-24
1659924025 Southcentral Foundation Community/Behavioral Health 4341 Tudor Centre Dr Ste 300, Anchorage, AK 99508-5904 2019-07-24
1720548035 Southcentral Foundation Clinic/Center 4441 Diplomacy Dr Fl 5, Anchorage, AK 99508-5910 2019-03-22
1750854089 Southcentral Foundation Clinic/Center 400 W Benson Blvd, Anchorage, AK 99503-3829 2019-01-09
1639652662 Southcentral Foundation Clinic/Center 26341 Eklutna Village Rd, Chugiak, AK 99567-5148 2018-09-14
1811420391 Southcentral Foundation Clinic/Center 1021 E 3rd Ave, Anchorage, AK 99501-6102 2017-04-11
1043767940 Southcentral Foundation Dentist 11495 N. Callison Street, Sutton, AK 99674 2016-09-08
1689021776 Southcentral Foundation Clinic/Center 755 A St, Anchorage, AK 99501-3625 2016-05-18

Office Location

Street Address 4330 ELMORE RD
City ANCHORAGE
State AK
Zip Code 99508-5907

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033226063 Katherine L Schneider Physician Assistant 4330 Elmore Rd, Anchorage, AK 99508-5907 2006-08-24
1972112365 Kristoffer Allen Portugaleza Auza Registered Nurse 4330 Elmore Rd, Anchorage, AK 99508-5907 2020-07-30
1295379162 Heather James Technician, Other 4330 Elmore Rd, Anchorage, AK 99508-5907 2019-11-04
1255973855 Beth Susan Juarez Registered Nurse 4330 Elmore Rd, Anchorage, AK 99508-5907 2019-10-15
1508408386 Taylor Chong Registered Nurse 4330 Elmore Rd, Anchorage, AK 99508-5907 2019-10-13
1447892328 Chantal Wolsfeld Licensed Practical Nurse 4330 Elmore Rd, Anchorage, AK 99508-5907 2019-10-12
1669014965 Loralisa Christine Summerhays Registered Nurse 4330 Elmore Rd, Anchorage, AK 99508-5907 2019-10-09
1184265662 Teresa Montgomery Registered Nurse 4330 Elmore Rd, Anchorage, AK 99508-5907 2019-10-04
1760044838 Alexis Banda Social Worker 4330 Elmore Rd, Anchorage, AK 99508-5907 2019-06-28
1689235855 Allison Lavern James Licensed Practical Nurse 4330 Elmore Rd, Anchorage, AK 99508-5907 2019-06-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366063349 Alexandra L Davis Student in an Organized Health Care Education/Training Program 1202 E 36th Ave, Anchorage, AK 99508 2020-05-01
1366087108 The Salvation Army, A California Corporation Community/Behavioral Health 3600 East 20th Avenue, Anchorage, AK 99508 2019-11-15
1679120349 Kila Gilcart Speech-Language Pathologist 161 Klevin Street #103, Anchorage, AK 99508 2019-08-19
1326692963 Shannon Maillet Behavior Technician 1650 S Bragaw, Anchorage, AK 99508 2019-07-31
1427602044 Frank Harris Lawson Iv Behavior Technician 1650 S. Bragaw, Anchorage, AK 99508 2019-07-31
1104470723 Vivalesi Seforosa Nair Behavior Technician 1650 South Bragaw, Anchorage, AK 99508 2019-07-31
1043864267 The Cozy Chalet Assisted Living Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3707 Mt Blanc Circle, Anchorage, AK 99508 2019-07-25
1942861778 Christine Mary Hoover Registered Nurse Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 2019-06-24
1215594502 Ashley Ongtowasruk Case Manager/Care Coordinator 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 2019-05-22
1659937019 Rayne Johnson Behavior Technician 4000 San Ernesto Blvd, Anchorage, AK 99508 2019-05-11
Find all providers in zip 99508

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700483781 Anchorage Community Mental Health Services, Inc Community/Behavioral Health 704 W 26th Ave, Anchorage, AK 99503-2532 2020-10-03
1184259855 Alaska Youth and Family Network Community/Behavioral Health 740 Communications Ave, Anchorage, AK 99503-6000 2020-03-03
1033755798 The Salvation Army, A California Corporation Community/Behavioral Health 1700 A Street, Anchorage, AK 99501 2019-11-18
1366087108 The Salvation Army, A California Corporation Community/Behavioral Health 3600 East 20th Avenue, Anchorage, AK 99508 2019-11-15
1639722069 Southcentral Foundation Community/Behavioral Health 4175 Tudor Centre Dr, Anchorage, AK 99508-5917 2019-07-24
1659924025 Southcentral Foundation Community/Behavioral Health 4341 Tudor Centre Dr Ste 300, Anchorage, AK 99508-5904 2019-07-24
1558878231 Pinnacle Community Health, LLC Community/Behavioral Health 8080 Opal Cir, Anchorage, AK 99502-4542 2018-01-04
1497272470 David Root Community/Behavioral Health 207 E Northern Lights Blvd Ste 212, Anchorage, AK 99503-2731 2017-08-29
1306393012 Deon Burns Community/Behavioral Health 12725 Landmark St Apt B, Anchorage, AK 99515-3818 2016-09-10
1386199339 Pcr Alaska LLC Community/Behavioral Health 1413 W 31st Ave, Anchorage, AK 99503-3624 2016-08-19
Find all providers in ANCHORAGE

Competitor

Search similar providers

City ANCHORAGE
Zip Code 99508

Improve Information

Please comment or provide details below to improve the information on SOUTHCENTRAL FOUNDATION.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches