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QUYANA CLUB HOUSE MENTAL HEALTH CLINIC
NPI 1144274986
Clinic/Center - Rehabilitation in Anchorage, AK

Active since May 19, 2006
225 EAGLE ST, ANCHORAGE, AK 99501(907) 729-6550 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, Mar 15, 2016, Jan 28, 2016 (3 updates tracked since 2016).

About Quyana Club House Mental Health Clinic NPPES

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

QUYANA CLUB HOUSE MENTAL HEALTH CLINIC (NPI 1144274986) is a healthcare organization registered as a rehabilitation in Anchorage, Alaska and active in the NPI registry since May 2006. The organization lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1144274986
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address225 EAGLE STAnchorage, AK 99501-2626
Mailing AddressPo Box 35198Seattle, WA 98124-5198
Phone(907) 729-6550
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (907) 729-4939
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 31, 20233 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
✔ NPI 1144274986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
License✔ Licensed in AK · 20467
225 EAGLE ST, Anchorage, AK 99501
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Other Names 2

Doing Business AsQuyana Club House Mental Health Clinic
Doing Business AsBsd- Quyana Clubhouse

Other Identifiers 2

Medicaid1000855AK
Medicaid1021095AK

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.

TERRA MARIE GALLANT
Behavior Technician
225 EAGLE ST
ANCHORAGE, AK 99501
Anchorage Municipality (907) 729-6550
BONNIE JEAN HUGHES CDC II
Counselor (Addiction (Substance Use Disorder))
225 EAGLE ST
ANCHORAGE, AK 99501
Anchorage Municipality (907) 729-6550
MRS. MICHELE LENA STROMME
Behavior Technician
225 EAGLE ST
ANCHORAGE, AK 99501
Anchorage Municipality (907) 729-6550
KELLY S ANDERSON
Behavior Technician
225 EAGLE ST
ANCHORAGE, AK 99501
Anchorage Municipality (907) 729-9550
HILLARY HAFNER
Registered Nurse
225 EAGLE ST
ANCHORAGE, AK 99501
Anchorage Municipality (907) 729-6550
MR. REN LYNN BELL
Behavior Technician
225 EAGLE ST
ANCHORAGE, AK 99501
Anchorage Municipality (907) 729-6550
MICHELLE SHANGIN MHPC
Community Health Worker
225 EAGLE ST
ANCHORAGE, AK 99501
Anchorage Municipality (907) 729-6550
IDA J KERNAK BHCA
Community Health Worker
225 EAGLE ST
ANCHORAGE, AK 99501
Anchorage Municipality (907) 729-6550

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 1144274986. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Quyana Club House Mental Health Clinic and BSD- Quyana Clubhouse.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 225 Eagle St, Anchorage, AK 99501. The listed phone number is (907) 729-6550.

What is Southcentral Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Southcentral Foundation was last updated on August 31, 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.