NPIMap

Organization Active NPI

Southcentral Foundation

Doing business as SCF BSD Adult Outpatient Services Medical

  • Multi-Specialty Clinic/Center
  • Anchorage, AK
National Provider Identifier
1821769456
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SOUTHCENTRAL FOUNDATION
Doing business as
SCF BSD Adult Outpatient Services Medical
Practice address
999 E Tudor Rd
Anchorage, AK 99503-6123
Phone
(907) 729-6799
Fax
(907) 729-8607
NPI assigned
Sep 23, 2021
Last updated
Jun 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Cristina Cayanong Ranon-Bacod
Title
Supervisor
Phone
(907) 729-6799

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

999 E Tudor Rd
Anchorage, AK 99503-6123

Mailing address

999 E Tudor Rd
Anchorage, AK 99503-6123
Phone (907) 729-6799

Other names 1

  • SCF BSD Adult Outpatient Services Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southcentral Foundation Nikolai Health Center103 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": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1821769456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036123",
            "telephone_number": "907-729-6799",
            "fax_number": "907-729-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036123",
            "telephone_number": "907-729-6799",
            "fax_number": "907-729-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCENTRAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "RANON-BACOD",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "CAYANONG",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "907-729-6799"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCF BSD Adult Outpatient Services Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SCF BSD Adult Outpatient Services Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.