TRIBAL- LIFE HOUSE COMMUNITY HEALTH CENTER
NPI 1043632037
Clinic/Center - Community Health in Sutton, AK

Active since January 10, 2014
11495 N CALLISON STREET, SUTTON, AK 99674(907) 631-7665 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 30, 2023, Mar 15, 2016, Feb 4, 2016 (3 updates tracked since 2016).

About Tribal- Life House Community Health Center NPPES

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

TRIBAL- LIFE HOUSE COMMUNITY HEALTH CENTER (NPI 1043632037) is a healthcare organization registered as a community health in Sutton, Alaska and active in the NPI registry since January 2014. The organization lists Ronald Lee Olson, Executive Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1043632037
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address11495 N CALLISON STREETSutton, AK 99674
Mailing AddressPo Box 35198Seattle, WA 98124-5198
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Of Finance · (907) 729-4939
Enumeration DateJanuary 10, 2014
Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1043632037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License✔ Licensed in AK · 20467
11495 N CALLISON STREET, Sutton, AK 99674

Other Names 1

Doing Business AsTribal- Life House Community Health Center

Other Identifiers 1

Medicaid1607931AK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tribal- Life House Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

457

Medicare enrollment records show 457 clinicians reassign Medicare billing to Tribal- Life House Community Health Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Nurse Practitioner95
Mental Health Counselor50
Family Practice45
Pediatric Medicine42
Clinical Social Worker34
Psychiatry29
Obstetrics/Gynecology28
Physical Therapist in Private Practice28
16 other specialties106

Nearest to this location (20)

See all 457
Nurse Practitioner
NPI 1679081889
PO BOX 214
Sutton, AK 99674
(907) 631-7665
✔ PECOS✔ Accepts Medicare4.2 mi
Qualified Speech Language Pathologist
NPI 1790957827
247 S ALASKA STREET
Palmer, AK 99645
(907) 707-9509
10 mi
Nurse Practitioner
NPI 1558172791
829 S REBECCA DR
Palmer, AK 99645
(907) 232-2176
✔ PECOS✔ Accepts Medicare13 mi
Mental Health Counselor
NPI 1154984607
7010 E BOGARD RD
Wasilla, AK 99654
(907) 746-4748
✔ PECOS✔ Accepts Medicare14 mi
Qualified Speech Language Pathologist
NPI 1871986745
3505 EAST MERIDIAN PARK LOOP, STE. 200
Wasilla, AK 99654
(907) 232-6322
17 mi
Addiction Medicine
NPI 1053418921
3223 E PALMER WASILLA HWY STE 4
Wasilla, AK 99654
(907) 631-6300
✔ PECOS18 mi
Mental Health Counselor
NPI 1801137989
3223 E PALMER WASILLA HWY STE 4
Wasilla, AK 99654
(907) 631-6300
✔ PECOS18 mi
Clinical Social Worker
NPI 1134831357
3223 E PALMER WASILLA HWY STE 4
Wasilla, AK 99654
(907) 631-6300
✔ PECOS✔ Accepts Medicare18 mi
Physical Therapist in Private Practice
NPI 1083636088
3765 E BLUE LUPINE DR STE E
Wasilla, AK 99654
(907) 373-9462
✔ Accepts Medicare18 mi
Physical Therapist in Private Practice
NPI 1346514718
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 729-3300
✔ Accepts Medicare20 mi
Clinical Social Worker
NPI 1245939354
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 729-3300
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1043280449
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1245285964
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOS✔ Accepts Medicare20 mi
Optometry
NPI 1497317168
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7640
✔ PECOS✔ Accepts Medicare20 mi
Pediatric Medicine
NPI 1295112159
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 729-3300
✔ PECOS20 mi
Registered Dietitian or Nutrition Professional
NPI 1023944865
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
20 mi
Psychiatry
NPI 1942296694
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOS20 mi
Certified Nurse Midwife (CNM)
NPI 1154947570
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7800
✔ PECOS20 mi
Osteopathic Manipulative Medicine
NPI 1326298175
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7803
✔ PECOS✔ Accepts Medicare20 mi
Chiropractic
NPI 1881084754
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
(907) 631-7630
✔ Accepts Medicare20 mi
See all 457 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1043632037. It was assigned to this organization in the NPPES registry on January 10, 2014. The provider is doing business as Tribal- Life House Community Health Center.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 11495 N Callison Street, Sutton, AK 99674. The listed phone number is (907) 631-7665.

What is Southcentral Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Southcentral Foundation enrolled in Medicare?

Yes. Southcentral Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southcentral Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 457 clinicians in 24 Medicare specialties reassign their Medicare billing to Southcentral Foundation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (95), Mental Health Counselor (50) and Family Practice (45). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.