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SOUTHCENTRAL FOUNDATION
NPI 1174734503
Clinic/Center - Mental Health (Including Community Mental Health Center) in Anchorage, AK

Active since May 25, 2007
4341 TUDOR CENTRE DR STE 300, ANCHORAGE, AK 99508(907) 729-2500 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southcentral Foundation NPPES

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

SOUTHCENTRAL FOUNDATION (NPI 1174734503), doing business as Tribal- Fireweed, is a healthcare organization registered as a mental health (including community mental health center) in Anchorage, Alaska and active in the NPI registry since May 2007. The organization lists Ronald L. Olson, Executive Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1174734503
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address4341 TUDOR CENTRE DR STE 300Anchorage, AK 99508-5904
Mailing Address7033 E Tudor RdAnchorage, AK 99507-1262
Phone(907) 729-2500
Organization SubpartNo
Authorized OfficialRonald L. OlsonExecutive Vp Finance · (907) 729-4939
Enumeration DateMay 25, 2007
Last NPPES UpdateJune 6, 2025
NPPES CertifiedJune 6, 2025
✔ NPI 1174734503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4341 TUDOR CENTRE DR STE 300, Anchorage, AK 99508
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Other Names 1

Doing Business AsTribal- Fireweed

Other Identifiers 1

Medicaid1000855AK

Other Providers at the Same Location NPPES 13

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

DR. SUSAN 'SUZI' WALLACE PSYCHOLOGIST
Psychologist (Clinical)
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2500
MS. BAHIYYIH ALEXANDRA YOUNG LPC
Counselor
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2500
MRS. KRISTERRA NICOLE YAWEA DNP, APRN, PMHNP, BC
Nurse Practitioner (Psychiatric/Mental Health)
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2500
ERIN YOUNG BHCM
Case Manager/Care Coordinator
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2500
CASEY DENISE SWANSON
Community Health Worker
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2500
SHAYLE LLIABAN
Community Health Worker
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2500
CLIFFORD C WILSON ANP
Nurse Practitioner (Psychiatric/Mental Health)
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2500
LYDIA HEYWARD
Case Manager/Care Coordinator
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2500

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 1174734503. It was assigned to this organization in the NPPES registry on May 25, 2007. The provider is doing business as Tribal- Fireweed.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 4341 Tudor Centre Dr Ste 300, Anchorage, AK 99508. The listed phone number is (907) 729-2500.

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.

When was this NPI record last updated?

The NPPES record for Southcentral Foundation was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.