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PORT ALSWORTH BSD CLINIC
NPI 1639537640
Clinic/Center - Mental Health (Including Community Mental Health Center) in Port Alsworth, AK

Active since February 04, 2016
1 FLIGHT LINE ROAD, PORT ALSWORTH, AK 99653(907) 729-4955 Get Directions Write a Review

NPPES record last updated: March 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2016, Feb 26, 2016, Feb 4, 2016 (3 updates tracked since 2016).

About Port Alsworth Bsd Clinic NPPES

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

PORT ALSWORTH BSD CLINIC (NPI 1639537640) is a healthcare organization registered as a mental health (including community mental health center) in Port Alsworth, 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

NPI1639537640
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address1 FLIGHT LINE ROADPort Alsworth, AK 99653
Mailing Address4501 Diplomacy DrAnchorage, AK 99508-5919 · (907) 729-4955
Phone(907) 729-4955
Organization SubpartNo
Authorized OfficialRonald Lee OlsonVp Finance · (907) 729-4939
Enumeration DateFebruary 4, 2016
Last NPPES UpdateMarch 15, 20163 updates tracked since enumeration
✔ NPI 1639537640 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
1 FLIGHT LINE ROAD, Port Alsworth, AK 99653
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Other Names 1

Doing Business AsPort Alsworth Bsd Clinic

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 1639537640. It was assigned to this organization in the NPPES registry on February 4, 2016. The provider is doing business as Port Alsworth Bsd Clinic.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 1 Flight Line Road, Port Alsworth, AK 99653. The listed phone number is (907) 729-4955.

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.