SOUTHCENTRAL FOUNDATION (NPI# 1831596311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831596311 |
| Entity Type | Organization |
| Organization Name | SOUTHCENTRAL FOUNDATION |
| Practice Address |
1000 Polovina Turnpike St Paul AK 99660 |
| Mailing Address |
4501 Diplomacy Dr Attn: Provider Enrollment Services Anchorage AK 99508-5919 |
| Practice Telephone | 9075462310 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |
| Authorized Official Name | RONALD L OLSON (VP FINANCE) |
| Authorized Official Telephone | 9077294939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
20467 | AK | Ambulatory Health Care Facilities |
| 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 |
| Street Address |
1000 POLOVINA TURNPIKE |
| City | ST PAUL |
| State | AK |
| Zip Code | 99660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922555820 | Southcentral Foundation | Dentist | 1000 Polovina Turnpike, St Paul, AK 99660 | 2016-09-08 |
| 1922405406 | Southcentral Foundation | Clinic/Center | 1000 Polovina Turnpike, St Paul, AK 99660 | 2014-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013330901 | June Mcglashan-shabolin | Community Health Worker | 1000 Polvenia Turnpike Rd, St. Paul, AK 99660 | 2014-01-28 |
| 1376851261 | Pauline Rukovishnikoff | Community Health Worker | 1000 Polovenia Turnpike Road, St. Paul, AK 99660 | 2010-09-14 |
| 1053525915 | Aleutian Pribilof Islands Association Inc | Community Health Worker | 1000 Polovenia Turnpike Rd, St. Paul Island, AK 99660 | 2007-05-10 |
| 1952448227 | Barbra J Keller | Nurse Practitioner | 1000 Polovina, St Paul Island, AK 99660 | 2007-01-30 |
| 1538233788 | Nancy E Sydnam | Family Medicine | St Paul Health Center, 1990 Polovenia Turnpike, St Paul, AK 99660 | 2006-11-20 |
| 1639241110 | Frederick Samuel Greene | Physician Assistant | 1000 Polivenia Tpke, Saint Paul Island, AK 99660 | 2006-11-14 |
| 1821013673 | Aleutian Pribilof Islands Assoc Inc | Counselor | 1000 Polovenia Turnpike, St Paul Health Center Behavioral Health, St Paul, AK 99660 | 2006-07-13 |
| 1790086957 | Matthew John Williams | Dentist | 1000 Polovenia Turnpike Road, St. Paul, AK 99660 | 2010-11-04 |
| 1831407725 | Monique Haretina Lestenkof | Community Health Worker | 1000 Polovenia Turnpike Road, St. Paul, AK 99660 | 2010-09-14 |
| 1740598630 | Tatiana Antionette Barraclough | Technician, Other | 1000 Polovenia Turnpike Road, St. Paul, AK 99660 | 2010-09-14 |
| Find all providers in zip 99660 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528165065 | Emily Program PC | Clinic/Center | 2265 Como Avenue, Suite 100, St Paul, MN 55108 | 2006-09-19 |
| 1427242205 | Humanist Psychotherapy Ctr | Clinic/Center | 1337 St Clair Av, Suite #1, St Paul, MN 55105-2844 | 2007-09-05 |
| 1457444507 | Childrens Health Care | Clinic/Center | 345 North Smith Avenue, Childrens Specialty Clinic Psychological Services Stpl, St Paul, MN 55102 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002113 | Volunteers of America Alaska, Central Ms | Clinic/Center | 1405 E St, Anchorage, AK 99501-5047 | 2020-10-27 |
| 1811597065 | Volunteers of America Alaska, West Hs | Clinic/Center | 1700 Hillcrest Dr, Anchorage, AK 99517-1347 | 2020-10-27 |
| 1578163721 | Volunteers of America Alaska, Romig Ms | Clinic/Center | 2500 Minnesota Dr, Anchorage, AK 99503-2384 | 2020-10-27 |
| 1295335446 | Volunteers of America Alaska, Tyson Es | Clinic/Center | 2801 Richmond Ave, Anchorage, AK 99508-1099 | 2020-10-27 |
| 1407466204 | Southcentral Foundation | Clinic/Center | 11495 N Callison St, Sutton, AK 99674 | 2020-08-06 |
| 1972120210 | Denali Family Services | Clinic/Center | 291 E Swanson Ave, Wasilla, AK 99654-7004 | 2020-07-02 |
| 1063033959 | Volunteers of America Alaska, Bartlett Hs | Clinic/Center | 1101 Golden Bear Dr, Anchorage, AK 99504-6120 | 2020-05-01 |
| 1427679307 | Volunteers of America Alaska, Benny Ss | Clinic/Center | 4515 Campbell Airstrip Rd, Anchorage, AK 99507-1267 | 2020-05-01 |
| 1396366290 | Volunteers of America Alaska, East Hs | Clinic/Center | 4025 E Northern Lights Blvd, Anchorage, AK 99508-3588 | 2020-05-01 |
| 1558991323 | Hatcher Pass Counseling and Consultation LLC | Clinic/Center | 720 E Evergreen Ave Ste B, Palmer, AK 99645-6660 | 2020-01-21 |
| Find all providers with the same taxonomy | ||||
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| 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.