BSD-ANPCC BURT
NPI 1124064894
Clinic/Center - Mental Health (Including Community Mental Health Center) in Anchorage, AK

Q: What is Southcentral Foundation's NPI number?

The NPI number for Southcentral Foundation is 1124064894. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider is doing business as Bsd-Anpcc Burt.

Q: What is Southcentral Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since June 21, 2006

4320 DIPLOMACY DR STE 1500, ANCHORAGE, AK 99508(907) 729-2500 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2023, Jul 17, 2017 (2 updates tracked since 2017).

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About Bsd-anpcc Burt NPPES

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

BSD-ANPCC BURT (NPI 1124064894) is a healthcare organization registered as a mental health (including community mental health center) in Anchorage, Alaska and active in the NPI registry since June 2006. The organization lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1124064894

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameSOUTHCENTRAL FOUNDATION

Location Address4320 DIPLOMACY DR STE 1500Anchorage, AK 99508-5925

Mailing AddressPo Box 35198Seattle, WA 98124-5198

Phone(907) 729-2500

Organization SubpartYes

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

Enumeration DateJune 21, 2006

Last NPPES UpdateAugust 31, 20232 updates tracked since enumeration

NPPES CertifiedAugust 31, 2023

✔ NPI 1124064894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

License✔ Licensed in AK · 20467

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 20467 (AK)

4320 DIPLOMACY DR STE 1500, Anchorage, AK 99508

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Other Names 1

Doing Business AsBsd-anpcc Burt

Other Identifiers 2

Medicaid1000855AK

Medicaid1021095AK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 8

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

NICOLE TRACY

Counselor (Professional)