Active NPI
Southcentral Foundation
- General Acute Care Hospital
- Anchorage, AK
National Provider Identifier
1215128509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 20467
- Legal business name
- SOUTHCENTRAL FOUNDATION
- Practice address
- 4320 Diplomacy Dr
Anchorage, AK 99508-5925 - Phone
- (907) 729-3300
- NPI assigned
- Aug 5, 2007
- Last updated
- Jan 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald Lee Olsone
- Title
- VP Finance
- Phone
- (907) 729-4939
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 20467 | AK | Primary |
Addresses
Primary practice location
4320 Diplomacy Dr
Anchorage, AK 99508-5925
Mailing address
4501 Diplomacy Dr
Attn: Provider Enrollment
Anchorage, AK 99508-5919
Phone (907) 729-4955
National Provider Directory
National Provider Directory- Tax ID family
- Southcentral Foundation Nikolai Health Center
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.
-
dba Dental- Port Alsworth Clinic
- Dental Clinic/Center
- Port Alsworth, AK
- NPI 1114480167
-
dba Dental- Nikolai Dental Clinic
- General Practice Dentistry
- Nikolai, AK
- NPI 1124575022
-
dba Benteh Nuutah Dental Clinic
- General Practice Dentistry
- Wasilla, AK
- NPI 1124603733
-
dba Tribal- KKGB OB/GYN
- Multi-Specialty Clinic/Center
- Anchorage, AK
- NPI 1124666730
-
dba BH- Behavior Analyst Group
- Behavior Analyst
- Anchorage, AK
- NPI 1124686076
-
dba Dental- Pedro Bay Dental Clinic
- General Practice Dentistry
- Pedro Bay, AK
- NPI 1144777046
-
dba Eklutna BH
- Community/Behavioral Health Agency
- Chugiak, AK
- NPI 1144830837
-
- Primary Care Clinic/Center
- Anchorage, AK
- NPI 1164669040
-
dba Care Coordination - Waiver Care Coordination
- Case Management Agency
- Anchorage, AK
- NPI 1164690459
-
dba Tribal- Fireweed
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Anchorage, AK
- NPI 1174734503
-
dba The Pathway Home Rendezvous
- Psychiatric Residential Treatment Facility
- Anchorage, AK
- NPI 1194987370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453939200000",
"number": "1215128509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 DIPLOMACY DR",
"address_2": "ATTN: PROVIDER ENROLLMENT",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085919",
"telephone_number": "907-729-4955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 DIPLOMACY DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085925",
"telephone_number": "907-729-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHCENTRAL FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2016-01-28",
"status": "A",
"authorized_official_last_name": "OLSONE",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "VP FINANCE",
"authorized_official_telephone_number": "907-729-4939"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "AK",
"license": "20467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
- Southcentral Foundation (Care Coordination - Waiver Care Coordination)
- Southcentral Foundation (Tribal - KKGB ANTHC (Shared))
- Southcentral Foundation (Tribal- Fireweed)
- Southcentral Foundation (BSD- Dena A Coy)
- Southcentral Foundation (The Pathway Home Rendezvous)
- Southcentral Foundation (Intensive Home Based Treatment)
- Southcentral Foundation (Dental- Children's Dental Clinic)
- Southcentral Foundation (SUD 1115- 4 Directions)
- Southcentral Foundation (HPG- Chap Group)
- Southcentral Foundation (BSD- FASD Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.