BH 1115- NONDALTON
NPI 1639772882
Community/Behavioral Health in Nondalton, AK

NPI Status: Active since November 19, 2020

Contact Information

69 MAIN STREET
NONDALTON, AK
ZIP 99640
Phone: (907) 294-2238

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  • Organization
  • Community/Behavioral Health

About BH 1115- NONDALTON

This page provides the complete NPI Profile along with additional information for Bh 1115- Nondalton, a provider established in Nondalton, Alaska operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1639772882 assigned on November 2020. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Bh 1115- Nondalton. The authorized official of this NPI record is Ronald Lee Olson (Executive Vice President Finance)

NPI
1639772882
Provider Legal Name
SOUTHCENTRAL FOUNDATION
Other Organization Name
BH 1115- NONDALTON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
69 MAIN STREET NONDALTON, AK 99640
Location Phone
(907) 294-2238
Mailing Address
PO BOX 35198 SEATTLE, WA 98124
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-19-2020
Last Update Date
09-14-2023
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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
1716557MEDICAID (05)AK 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639772882
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691474816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 4 + 7 + 4 + 8 + 1 + 6 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1639772882 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

GLORIA M TREFON

Community Health Worker

69 MAIN STREET
NONDALTON, AK
ZIP 99640

(907) 294-2238

SOUTHCENTRAL FOUNDATION

Dentist

(General Practice)

69 MAIN STREET
NONDALTON, AK
ZIP 99640

(907) 294-2238

SOUTHCENTRAL FOUNDATION

Clinic/Center

(Community Health)

69 MAIN STREET
NONDALTON, AK
ZIP 99640

(907) 294-2238

KARINA A JEFFRIES CHA II

Community Health Worker

69 MAIN STREET
NONDALTON, AK
ZIP 99640

(907) 729-6709

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639772882, enumerated as an "organization" on November 19, 2020.

The provider is located at 69 MAIN STREET NONDALTON, AK 99640 and the phone number is (907) 294-2238.

Community/Behavioral Health with taxonomy code 251S00000X.

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