NPIMap

Organization Active NPI

Southcentral Foundation

Doing business as Eklutna BH

  • Community/Behavioral Health Agency
  • Chugiak, AK
National Provider Identifier
1144830837
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTHCENTRAL FOUNDATION
Practice address
26341 Eklutna Village Rd
Chugiak, AK 99567-5148
Phone
(907) 688-6031
Fax
(907) 688-6021
NPI assigned
Aug 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

26341 Eklutna Village Rd
Chugiak, AK 99567-5148

Mailing address

PO Box 35198
Chugiak, AK 99567-5148
Phone (907) 688-6731

Other names 1

  • Eklutna BH Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Anchorage Primary Care Clinic103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1144830837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35198",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995675148",
            "telephone_number": "907-688-6731",
            "fax_number": "907-688-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26341 EKLUTNA VILLAGE RD",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995675148",
            "telephone_number": "907-688-6031",
            "fax_number": "907-688-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCENTRAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VP OF REVENUE",
        "authorized_official_telephone_number": "701-729-4939"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eklutna BH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eklutna BH",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Eklutna BH",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chugiak, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.