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SOUTHCENTRAL FOUNDATION
NPI 1205138294
Clinic/Center - Mental Health (Including Community Mental Health Center) in Wasilla, AK

Active since November 23, 2010
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654(907) 631-7800 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2026, Aug 31, 2023, Aug 2, 2019 and 1 more (4 updates tracked since 2016).

About Southcentral Foundation NPPES

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

SOUTHCENTRAL FOUNDATION (NPI 1205138294), doing business as Bsd- Benteh Nuutah Primary Care Center (bnpcc), is a healthcare organization registered as a mental health (including community mental health center) in Wasilla, Alaska and active in the NPI registry since November 2010. The organization lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1205138294
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address1001 S KNIK GOOSE BAY RDWasilla, AK 99654-8083
Mailing AddressPo Box 35198Seattle, WA 98124-5198
Phone(907) 631-7800
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (907) 729-4939
Enumeration DateNovember 23, 2010
Last NPPES UpdateJune 5, 20264 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1205138294 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
1001 S KNIK GOOSE BAY RD, Wasilla, AK 99654
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Other Names 2

Doing Business AsBsd- Benteh Nuutah Primary Care Center (bnpcc)
Doing Business AsBsd- Valley Native Primary Care Center- Vnpcc

Other Identifiers 1

Medicaid1697883AK

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.

SOUTHCENTRAL FOUNDATION
Community/Behavioral Health
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
DR. ELIZABETH C TURGEON M.D.
Family Medicine
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
EMA LUCILLE FIEDLER RDN
Dietitian, Registered
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
JAMES HALES FNP-C. FNP-BC,
Nurse Practitioner (Family)
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
JASEN RUSSELL THOMPSON PA-C
Physician Assistant
1001 S KNIK GOOSE BAY RD, PCC WEST
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7851
RAINA PASIEWICZ RD
Dietitian, Registered
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
SOUTHCENTRAL FOUNDATION
Hearing Aid Equipment
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 729-8624
DR. CALVIN W. GABEL D.C.
Chiropractor
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7388

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 1205138294. It was assigned to this organization in the NPPES registry on November 23, 2010. The provider is doing business as BSD- Benteh Nuutah Primary Care Center (BNPCC) and BSD- Valley Native Primary Care Center- VNPCC.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 1001 S Knik Goose Bay Rd, Wasilla, AK 99654. The listed phone number is (907) 631-7800.

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 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.