NPIMap

Organization Active NPI

Southcentral Foundation

Doing business as Alaska Subspecialty Pediatric Network (ASPN)

  • Multi-Specialty Clinic/Center
  • Wasilla, AK
National Provider Identifier
1457196685
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SOUTHCENTRAL FOUNDATION
Doing business as
Alaska Subspecialty Pediatric Network (ASPN)
Practice address
3505 E Meridian Park Loop Ste 220
Wasilla, AK 99654-7242
Phone
(907) 729-8901
NPI assigned
Jun 28, 2024
Last updated
Sep 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHCENTRAL FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Ronald Lee Olson
Title
Executive Vice President Finance
Phone
(701) 729-4939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

3505 E Meridian Park Loop Ste 220
Wasilla, AK 99654-7242

Mailing address

PO Box 35198
Seattle, WA 98124-5198

Other practice location 1

4320 Diplomacy Dr Ste 2300
Anchorage, AK 99508-5925
Phone (907) 729-9989

Other practice location 2

1717 W Cowles St
Fairbanks, AK 99701-3975
Phone (907) 729-9989

Other practice location 3

1659 Cowles St
Ste 338
Fairbanks, AK 99701-5924
Phone (907) 729-8901

Other names 1

  • Alaska Subspecialty Pediatric Network (ASPN) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051027000416 TX Part B Supplier - Clinic/Group Practice 5496663627 Receives reassigned benefits from 534 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Anchorage, AK; Chugiak, AK; Fairbanks, AK; Igiugig, AK; Iliamna, AK; Kockhanok, AK; McGrath, AK; Nondalton, AK…

National Provider Directory

National Provider Directory
Tax ID family
Southcentral Foundation Nikolai Health Center103 organizations share this tax ID, including this one
Part of
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.

View all 24

Locations

1021 E 3rd Ave
Anchorage, AK 99501
Phone (907) 729-6342

225 Eagle St
Anchorage, AK 99501
Phone (907) 729-6550

225 Eagle St
#1115
Anchorage, AK 99501

3925 Reka Dr
Anchorage, AK 99508
Phone (907) 729-6300

4000 Laurel St
Anchorage, AK 99508
Phone (907) 729-6300

4000 Laurel St
#4
Anchorage, AK 99508

4000 San Ernesto Ave
Anchorage, AK 99508
Phone (907) 729-5020

4130 San Ernesto Ave
#A
Anchorage, AK 99508
Phone (907) 729-5070

4155 Tudor Centre Dr
#1044
Anchorage, AK 99508
Phone (907) 729-6300

4155 Tudor Centre Dr
Ste 103
Anchorage, AK 99508
Phone (907) 729-3971

4175 Tudor Centre Dr
Ste 200
Anchorage, AK 99508
Phone (907) 729-8550

4201 Tudor Centre Dr
Anchorage, AK 99508
Phone (907) 729-2689

4320 Diplomacy Dr
#1500
Anchorage, AK 99508

4320 Diplomacy Dr
Ste 2300
Anchorage, AK 99508
Phone (907) 729-1000

4341 Tudor Centre Dr
#2
Anchorage, AK 99508
Phone (907) 729-8532

4341 Tudor Centre Dr
#3
Anchorage, AK 99508
Phone (907) 729-8533

4341 Tudor Dr
Ste 300
Anchorage, AK 99508
Phone 9077292500 ext. 6170

670 W Fireweed Ln
#236A
Anchorage, AK 99503
Phone (907) 265-4974

755 A St
Anchorage, AK 99501
Phone (907) 272-1255

26341 Eklutna Village Rd
Chugiak, AK 99567
Phone (907) 688-6031

3503 E Meridian Park Loop
Ste 220 Alaska Subspecialty Pediatric Network
Wasilla, AK 99654
Phone (907) 729-5083

Practitioners & affiliated clinicians

Practitioners 218

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 218

NPI Registry JSON

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1457196685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35198",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981245198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 E MERIDIAN PARK LOOP STE 220",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547242",
            "telephone_number": "907-729-8901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Diplomacy Dr Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085925",
            "country_code": "US",
            "telephone_number": "907-729-9989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 W Cowles St",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997013975",
            "country_code": "US",
            "telephone_number": "907-729-9989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1659 Cowles St",
            "address_2": "Ste 338",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997015924",
            "country_code": "US",
            "telephone_number": "907-729-8901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHCENTRAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHCENTRAL FOUNDATION",
        "enumeration_date": "2024-06-28",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "701-729-4939"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Subspecialty Pediatric Network (ASPN)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alaska Subspecialty Pediatric Network (ASPN)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.