Southcentral Foundation in Anchorage - Mental Health (including Community Mental Health Center)

Southcentral Foundation - NPI 1255517975

Southcentral Foundation is a Mental Health (including Community Mental Health Center) in Anchorage, Alaska. Southcentral Foundation practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Southcentral Foundation is 1255517975. The last update date is 2023-08-31.

Southcentral Foundation's current location address is 4341 Tudor Centre Dr, Anchorage, Alaska. You can contact this provider via phone number 9077292500. The mailing address for Southcentral Foundation is 4341 Tudor Centre Dr, Anchorage, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southcentral Foundation
Address 4341 Tudor Centre Dr, Anchorage, Alaska
Phone Number 9077292500
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Olson Lee Ronald
Telephone Number 9077294939

NPI Number Detail

NPI Number 1255517975
Provider Enumeration Date 2008-01-11
Last Updated Date 2023-08-31

Provider Mailing Address Detail

Address 4341 Tudor Centre Dr
City Anchorage
State Alaska (AK)
Post Code 995085904
Phone Number 9077292500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Mental Health (including Community Mental Health Center)
Taxonomy 261Qm0801X
Licence No 20467
Definition:
Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1000855 AK --
1021095 AK --

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FAQs about Southcentral Foundation

What is the unique provider identifier assigned to Southcentral Foundation?

The Southcentral Foundation has been issued the NPI (National Provider Identifier) 1255517975 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Southcentral Foundation's facilities are geographically located?

The facilities of Southcentral Foundation are physically situated at the following location: 4341 Tudor Centre Dr, Anchorage, AK, 995085904.

What is Southcentral Foundation's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Southcentral Foundation is Mental Health (including Community Mental Health Center), and the taxonomy code that classifies this field of practice is 261Qm0801X.

On what date did the Southcentral Foundation receive the assignment of its 1255517975 from the Centers for Medicare & Medicaid Services?

The Southcentral Foundation was issued its 1255517975 by the Centers for Medicare & Medicaid Services on 2008-01-11.

As of what date was the information regarding Southcentral Foundation, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Southcentral Foundation, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-08-31.

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