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BSD- DETOX
NPI 1255881637
Clinic/Center - Multi-Specialty in Anchorage, AK

Active since October 10, 2016
4330 ELMORE RD, ANCHORAGE, AK 99508(907) 729-6690 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 31, 2023, Mar 16, 2017, Oct 10, 2016 (3 updates tracked since 2016).

About Bsd- Detox NPPES

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

BSD- DETOX (NPI 1255881637) is a healthcare organization registered as a multi-specialty in Anchorage, Alaska and active in the NPI registry since October 2016. The organization lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1255881637
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address4330 ELMORE RDAnchorage, AK 99508-5907
Mailing AddressPo Box 35198Seattle, WA 98124-5198
Phone(907) 729-6690
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (907) 729-4949
Enumeration DateOctober 10, 2016
Last NPPES UpdateAugust 31, 20233 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
✔ NPI 1255881637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
4330 ELMORE RD, Anchorage, AK 99508
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Other Names 2

Doing Business AsBsd- Detox
Doing Business AsTribal- Detox

Other Identifiers 2

Medicaid1664351AK
Medicaid1666501AK

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 20

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

JOANNE ANDERSON
Registered Nurse (Addiction (Substance Use Disorder))
4330 ELMORE RD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-6690
KATHERINE L SCHNEIDER PA-C
Physician Assistant
4330 ELMORE RD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-6690
ELENA SCHEFFLER
Technician/Technologist
4330 ELMORE RD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-6690
GELLIAN MIE HOLLAND
Registered Nurse
4330 ELMORE RD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-6690
MS. RONA JANEL JOHNSON A-GNP
Nurse Practitioner
4330 ELMORE RD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-6690
TERESA MONTGOMERY RN
Registered Nurse
4330 ELMORE RD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-6690
DANIELL BURRUSS RN
Registered Nurse
4330 ELMORE RD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-6690
KARSEN LEAH CULLEN PA-C
Physician Assistant
4330 ELMORE RD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-6690

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 1255881637. It was assigned to this organization in the NPPES registry on October 10, 2016. The provider is doing business as Bsd- Detox and Tribal- Detox.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 4330 Elmore Rd, Anchorage, AK 99508. The listed phone number is (907) 729-6690.

What is Southcentral Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does Southcentral Foundation accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Southcentral Foundation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.