SUD 1115- DENA A COY
NPI 1699329003
Community/Behavioral Health in Anchorage, AK

Active since July 25, 2019
4130 SAN ERNESTO AVE, ANCHORAGE, AK 99508(907) 729-5070 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sud 1115- Dena A Coy NPPES

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

SUD 1115- DENA A COY (NPI 1699329003) is a healthcare organization registered as a community/behavioral health in Anchorage, Alaska and active in the NPI registry since July 2019. The organization lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1699329003
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address4130 SAN ERNESTO AVEAnchorage, AK 99508-2875
Mailing AddressPo Box 35198Seattle, WA 98124-5198
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (907) 729-4939
Enumeration DateJuly 25, 2019
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
NPI 1699329003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

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.

4130 SAN ERNESTO AVE, Anchorage, AK 99508

Other Names 1

Doing Business AsSud 1115- Dena A Coy

Other Identifiers 1

Medicaid1696895AK

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.

Psychologist
4130 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Social Worker (Clinical)
4130 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Marriage & Family Therapist
4130 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Registered Nurse (Psychiatric/Mental Health)
4130 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Counselor (Mental Health)
4130 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Counselor (Addiction (Substance Use Disorder))
4130 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Counselor (Addiction (Substance Use Disorder))
4130 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Counselor (Addiction (Substance Use Disorder))
4130 SAN ERNESTO AVE
ANCHORAGE, AK 99508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699329003, enumerated as an "organization" on July 25, 2019.

The provider is located at 4130 SAN ERNESTO AVE ANCHORAGE, AK 99508 and the phone number is (907) 729-5070.

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.