SUD 1115- BENTEH NUUTAH FOUR DIRECTIONS
NPI 1043886369
Community/Behavioral Health in Wasilla, AK

Q: What is Southcentral Foundation's NPI number?

The NPI number for Southcentral Foundation is 1043886369. It was assigned to this organization in the NPPES registry on May 27, 2021. The provider is doing business as Sud 1115- Benteh Nuutah Four Directions.

Q: What is Southcentral Foundation's specialty?

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

Active since May 27, 2021

3223 E PALMER WASILLA HWY, WASILLA, AK 99654(907) 729-6300 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2023, May 27, 2021 (2 updates tracked since 2021).

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About Sud 1115- Benteh Nuutah Four Directions NPPES

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

SUD 1115- BENTEH NUUTAH FOUR DIRECTIONS (NPI 1043886369) is a healthcare organization registered as a community/behavioral health in Wasilla, Alaska and active in the NPI registry since May 2021. The organization lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1043886369

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSOUTHCENTRAL FOUNDATION

Location Address3223 E PALMER WASILLA HWYWasilla, AK 99654-7277

Mailing AddressPo Box 35198Seattle, WA 98124-5198

Phone(907) 729-6300

Organization SubpartYes

Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (907) 729-4939

Enumeration DateMay 27, 2021

Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration

NPPES CertifiedAugust 30, 2023

✔ NPI 1043886369 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.

3223 E PALMER WASILLA HWY, Wasilla, AK 99654

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Other Names 1

Doing Business AsSud 1115- Benteh Nuutah Four Directions

Other Identifiers 1

Medicaid1724999AK

Other Providers at the Same Location NPPES 7

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

NANCY JANE CORRELL

Counselor (Addiction (Substance Use Disorder))

3223 E PALMER WASILLA HWY
WASILLA, AK 99654

Matanuska-Susitna Borough (907) 729-2500

SANDRA WOODS

Registered Nurse

3223 E PALMER WASILLA HWY, SUITE 3
WASILLA, AK 99654

Matanuska-Susitna Borough (907) 352-6600

CAPSTONE FAMILY MEDICAL

Non-Pharmacy Dispensing Site

3223 E PALMER WASILLA HWY
WASILLA, AK 99654

Matanuska-Susitna Borough (952) 653-2528

RENE DILLOW RN

Registered Nurse (Community Health)

3223 E PALMER WASILLA HWY
WASILLA, AK 99654

Matanuska-Susitna Borough (907) 352-6600

ANNA RAE KERR M.ED.

Counselor

3223 E PALMER WASILLA HWY
WASILLA, AK 99654

Matanuska-Susitna Borough (907) 631-6300

MRS. SHEILA MARIE OHMAN R.N.

Registered Nurse

3223 E PALMER WASILLA HWY, SUITE #3
WASILLA, AK 99654

Matanuska-Susitna Borough (907) 352-6600

LEE ANNE DURHAM

Counselor (Mental Health)

3223 E PALMER WASILLA HWY
WASILLA, AK 99654

Matanuska-Susitna Borough (907) 631-6300

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 1043886369. It was assigned to this organization in the NPPES registry on May 27, 2021. The provider is doing business as Sud 1115- Benteh Nuutah Four Directions.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 3223 E Palmer Wasilla Hwy, Wasilla, AK 99654. The listed phone number is (907) 729-6300.

What is Southcentral Foundation's specialty?

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

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 2 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.