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: October 18, 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
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

Other Names 2

Doing Business AsBsd- Detox
Doing Business AsTribal- Detox

Other Identifiers 2

Medicaid1664351AK
Medicaid1666501AK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bsd- Detox is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

457

Medicare enrollment records show 457 clinicians reassign Medicare billing to Bsd- Detox, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 304 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Nurse Practitioner95
Mental Health Counselor50
Family Practice45
Pediatric Medicine42
Clinical Social Worker34
Psychiatry29
Obstetrics/Gynecology28
Physical Therapist in Private Practice28
16 other specialties106

Nearest to this location (20)

See all 457
Mental Health Counselor
NPI 1659937928
4330 ELMORE RD
Anchorage, AK 99508
(907) 729-4955
✔ PECOSSame address
Nurse Practitioner
NPI 1164944229
4330 ELMORE RD
Anchorage, AK 99508
(907) 729-6690
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962523530
4330 ELMORE RD
Anchorage, AK 99508
(907) 729-6690
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1093876674
4141 AMBASSADOR DR
Anchorage, AK 99508
(907) 729-1542
✔ PECOS✔ Accepts Medicare0.2 mi
Certified Nurse Midwife (CNM)
NPI 1043859127
4141 AMBASSADOR DR
Anchorage, AK 99508
(907) 729-3973
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1689789497
4320 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-3300
✔ PECOS0.3 mi
Physical Therapist in Private Practice
NPI 1942754742
4320 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-3300
✔ Accepts Medicare0.3 mi
Occupational Therapist in Private Practice
NPI 1902615537
4320 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-3300
✔ Accepts Medicare0.3 mi
Family Practice
NPI 1609959410
4320 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-3300
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1508697749
4320 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-3300
✔ PECOS✔ Accepts Medicare0.3 mi
Psychiatry
NPI 1487765186
4320 DIPLOMACY DR STE 1500
Anchorage, AK 99508
(907) 729-2500
✔ PECOS✔ Accepts Medicare0.3 mi
Mental Health Counselor
NPI 1568185866
4320 DIPLOMACY DR
Anchorage, AK 99508
(907) 444-8361
✔ PECOS0.3 mi
Qualified Audiologist
NPI 1730352410
4320 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-3300
0.3 mi
Registered Dietitian or Nutrition Professional
NPI 1790591014
4320 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-3300
0.3 mi
Chiropractic
NPI 1780464719
4320 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-3300
✔ Accepts Medicare0.3 mi
Pediatric Medicine
NPI 1851370084
4320 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-8818
✔ PECOS0.3 mi
Clinical Psychologist
NPI 1891085007
4320 DIPLOMACY DRIVE, SUITE 1500
Anchorage, AK 99508
(907) 729-4221
✔ PECOS✔ Accepts Medicare0.3 mi
Osteopathic Manipulative Medicine
NPI 1477059079
4320 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-3300
✔ PECOS✔ Accepts Medicare0.3 mi
Qualified Speech Language Pathologist
NPI 1861623266
4315 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-1063
0.3 mi
General Practice
NPI 1013966977
4320 DIPLOMACY DR SUITE 1191
Anchorage, AK 99508
(907) 729-6321
✔ PECOS✔ Accepts Medicare0.3 mi
See all 457 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Southcentral Foundation enrolled in Medicare?

Yes. Southcentral Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southcentral Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 457 clinicians in 24 Medicare specialties reassign their Medicare billing to Southcentral Foundation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (95), Mental Health Counselor (50) and Family Practice (45). Of these, 3 practice at this address and 304 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 3 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.