1. Home
  2. Directory
  3. Alaska
  4. Wasilla
  5. Community Behavioral Health
  6. NPI Profile

SOUTHCENTRAL FOUNDATION
NPI 1003469719
Community/Behavioral Health in Wasilla, AK

Active since July 22, 2019
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654(907) 631-7800 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2026, Aug 30, 2023, Jul 22, 2019 (3 updates tracked since 2019).

About Southcentral Foundation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHCENTRAL FOUNDATION (NPI 1003469719), doing business as Bh 1115- Benteh Nuutah Primary Care Center, is a healthcare organization registered as a community/behavioral health in Wasilla, Alaska and active in the NPI registry since July 2019. The organization lists Ronald Lee Olson, Executive Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1003469719
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address1001 S KNIK GOOSE BAY RDWasilla, AK 99654-8083
Mailing AddressPo Box 35198Seattle, WA 98124-5198
Phone(907) 631-7800
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Of Finance · (907) 729-4939
Enumeration DateJuly 22, 2019
Last NPPES UpdateJune 5, 20263 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1003469719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1001 S KNIK GOOSE BAY RD, Wasilla, AK 99654
Open in Google Maps ↗

Other Names 2

Doing Business AsBh 1115- Benteh Nuutah Primary Care Center
Doing Business AsSud/bh 1115- Vnpcc

Other Identifiers 1

Medicaid1696887AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELIZABETH C TURGEON M.D.
Family Medicine
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
EMA LUCILLE FIEDLER RDN
Dietitian, Registered
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
JAMES HALES FNP-C. FNP-BC,
Nurse Practitioner (Family)
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
JASEN RUSSELL THOMPSON PA-C
Physician Assistant
1001 S KNIK GOOSE BAY RD, PCC WEST
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7851
RAINA PASIEWICZ RD
Dietitian, Registered
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
SOUTHCENTRAL FOUNDATION
Hearing Aid Equipment
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 729-8624
DR. CALVIN W. GABEL D.C.
Chiropractor
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7388
CYNTHIA J MANTEY APNP
Nurse Practitioner (Family)
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southcentral Foundation's NPI number?

The NPI number for Southcentral Foundation is 1003469719. It was assigned to this organization in the NPPES registry on July 22, 2019. The provider is doing business as BH 1115- Benteh Nuutah Primary Care Center and Sud/Bh 1115- Vnpcc.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 1001 S Knik Goose Bay Rd, Wasilla, AK 99654. The listed phone number is (907) 631-7800.

What is Southcentral Foundation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Southcentral Foundation accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Southcentral Foundation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southcentral Foundation was last updated on June 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.