BSD- FASD CLINIC
NPI 1255517975
Clinic/Center - Multi-Specialty in Anchorage, AK

NPI Status: Active since January 11, 2008

Contact Information

4341 TUDOR CENTRE DR
ANCHORAGE, AK
ZIP 99508
Phone: (907) 729-2500

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About BSD- FASD CLINIC

This page provides the complete NPI Profile along with additional information for Bsd- Fasd Clinic, a provider established in Anchorage, Alaska operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1255517975 assigned on January 2008. The practitioner's primary taxonomy code is 261QM1300X with license number 20467 (AK). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Bsd- Fasd Clinic. The authorized official of this NPI record is Ronald Lee Olson (Executive Vice President Finance)

NPI
1255517975
Provider Legal Name
SOUTHCENTRAL FOUNDATION
Other Organization Name
BSD- FASD CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4341 TUDOR CENTRE DR ANCHORAGE, AK 99508
Location Phone
(907) 729-2500
Mailing Address
PO BOX 35198 SEATTLE, WA 98124
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-11-2008
Last Update Date
04-24-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
20467
License State
AK

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

20467 (AK)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RONALD LEE OLSON

Authorized Official Title
EXECUTIVE VICE PRESIDENT FINANCE
Authorized Official Phone
(907) 729-4939

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1000808MEDICAID (05)AK 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255517975, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 1 + 0 + 1 + 1 + 4 + 9 + 1 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1255517975.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Optometrist
4341 TUDOR CENTRE DR
ANCHORAGE, AK 99508
Counselor (Professional)
4341 TUDOR CENTRE DR
ANCHORAGE, AK 99508
General Acute Care Hospital
4341 TUDOR CENTRE DR, ATTN SHERRY REEDY
ANCHORAGE, AK 99508
Counselor (Addiction (Substance Use Disorder))
4341 TUDOR CENTRE DR
ANCHORAGE, AK 99508
Occupational Therapist
4341 TUDOR CENTRE DR, 3RD FLOOR
ANCHORAGE, AK 99508
Dentist
4341 TUDOR CENTRE DR
ANCHORAGE, AK 99508
Clinic/Center (Dental)
4341 TUDOR CENTRE DR
ANCHORAGE, AK 99508
Optometrist
4341 TUDOR CENTRE DR, 2ND FLOOR
ANCHORAGE, AK 99508
Registered Nurse
4341 TUDOR CENTRE DR, 3RD FLOOR
ANCHORAGE, AK 99508
Social Worker (Clinical)
4341 TUDOR CENTRE DR, 3RD FLOOR
ANCHORAGE, AK 99508
Social Worker (Clinical)
4341 TUDOR CENTRE DR, 3RD FLOOR
ANCHORAGE, AK 99508
Counselor (Professional)
4341 TUDOR CENTRE DR, 3RD FLOOR
ANCHORAGE, AK 99508
Counselor (Professional)
4341 TUDOR CENTRE DR, 3RD FLOOR
ANCHORAGE, AK 99508
Psychiatry & Neurology (Psychiatry)
4341 TUDOR CENTRE DR, THIRD FLOOR
ANCHORAGE, AK 99508
Dentist
4341 TUDOR CENTRE DR
ANCHORAGE, AK 99508
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4341 TUDOR CENTRE DR
ANCHORAGE, AK 99508
Optometrist
4341 TUDOR CENTRE DR
ANCHORAGE, AK 99508
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4341 TUDOR CENTRE DR, THIRD FLOOR
ANCHORAGE, AK 99508
Optometrist
4341 TUDOR CENTRE DR, SUITE 200
ANCHORAGE, AK 99508
Optometrist
4341 TUDOR CENTRE DR, 2ND FLOOR
ANCHORAGE, AK 99508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255517975, enumerated as an "organization" on January 11, 2008.

The provider is located at 4341 TUDOR CENTRE DR ANCHORAGE, AK 99508 and the phone number is (907) 729-2500.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.