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INDIAN CREEK BSD CLINIC
NPI 1548628555
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tyonek, AK

Active since February 04, 2016
101 INDIAN CREEK ROAD, TYONEK, AK 99682(907) 583-2461 Get Directions Write a Review

NPPES record last updated: March 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 15, 2016, Feb 4, 2016 (2 updates tracked since 2016).

About Indian Creek Bsd Clinic NPPES

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

INDIAN CREEK BSD CLINIC (NPI 1548628555) is a healthcare organization registered as a mental health (including community mental health center) in Tyonek, Alaska and active in the NPI registry since February 2016. The organization lists Ronald Lee Olson, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1548628555
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address101 INDIAN CREEK ROADTyonek, AK 99682
Mailing Address4501 Diplomacy DrAnchorage, AK 99508-5919 · (907) 729-4955
Phone(907) 583-2461
Organization SubpartNo
Authorized OfficialRonald Lee OlsonVp Finance · (907) 729-4939
Enumeration DateFebruary 4, 2016
Last NPPES UpdateMarch 15, 20162 updates tracked since enumeration
✔ NPI 1548628555 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
License✔ Licensed in AK · 20467
101 INDIAN CREEK ROAD, Tyonek, AK 99682
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Other Names 1

Doing Business AsIndian Creek Bsd Clinic

Other Providers at the Same Location NPPES 3

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

KIMBERLY SHAYD ULERY CHA III
Community Health Worker
101 INDIAN CREEK ROAD, BOX 82068
TYONEK, AK 99682
Kenai Peninsula Borough (907) 729-6752
SOUTHCENTRAL FOUNDATION
Clinic/Center (Community Health)
101 INDIAN CREEK ROAD
TYONEK, AK 99682
Kenai Peninsula Borough (907) 583-2461
SOUTHCENTRAL FOUNDATION
Dentist (General Practice)
101 INDIAN CREEK ROAD
TYONEK, AK 99682
Kenai Peninsula Borough (907) 583-2461

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 1548628555. It was assigned to this organization in the NPPES registry on February 4, 2016. The provider is doing business as Indian Creek Bsd Clinic.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 101 Indian Creek Road, Tyonek, AK 99682. The listed phone number is (907) 583-2461.

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 March 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.