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: October 18, 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

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)

Sud 1115- Dena A Coy 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 Sud 1115- Dena A Coy, which bills Medicare for the services they deliver. Of these, 1 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
Clinical Social Worker
NPI 1336883354
4130 SAN ERNESTO AVE
Anchorage, AK 99508
(206) 417-9904
✔ PECOSSame address
Clinical Social Worker
NPI 1710388608
4000 SAN ERNESTO AVE
Anchorage, AK 99508
(907) 729-5030
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1760919633
4000 SAN ERNESTO AVE
Anchorage, AK 99508
(907) 729-5055
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1659859221
3600 SAN JERONIMO DR STE 316
Anchorage, AK 99508
(907) 793-3200
✔ PECOS0.3 mi
Nurse Practitioner
NPI 1225567431
SOUTH CENTRAL FOUNDATION 4155 TUDOR CENTRE DRIVE
Anchorage, AK 99508
(509) 215-1700
✔ PECOS0.9 mi
Qualified Audiologist
NPI 1871991661
3801 UNIVERSITY LAKE DR SOUTHCENTRAL FOUNDATION AUDIOLOGY DEPARTMENT
Anchorage, AK 99508
(907) 729-1400
✔ Accepts Medicare1.7 mi
Pediatric Medicine
NPI 1437384583
3340 PROVIDENCE DR STE A-565
Anchorage, AK 99508
(907) 212-2321
✔ PECOS1.7 mi
Family Practice
NPI 1639464050
821 N ST STE 102
Anchorage, AK 99501
(253) 844-4327
✔ PECOS✔ Accepts Medicare1.9 mi
Hematology/Oncology
NPI 1255407854
3841 PIPER STREET SUITE T4-020
Anchorage, AK 99508
(907) 929-7337
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1962625921
ALASKA NATIVE MEDICAL CENTER 4315 DIPLOMACY DRIVE
Anchorage, AK 99508
(907) 729-1070
✔ PECOS1.9 mi
Psychiatry
NPI 1891006946
3760 PIPER ST SUITE 1108
Anchorage, AK 99508
(907) 212-6900
✔ PECOS✔ Accepts Medicare2.0 mi
Optometry
NPI 1285017194
5800 WESTOVER AVE
Jber, AK 99506
(907) 978-1937
✔ PECOS2.0 mi
Obstetrics/Gynecology
NPI 1093876674
4141 AMBASSADOR DR
Anchorage, AK 99508
(907) 729-1542
✔ PECOS✔ Accepts Medicare2.0 mi
Certified Nurse Midwife (CNM)
NPI 1043859127
4141 AMBASSADOR DR
Anchorage, AK 99508
(907) 729-3973
✔ PECOS✔ Accepts Medicare2.0 mi
Physical Therapist in Private Practice
NPI 1265744254
4160 TUDOR CENTRE DR
Anchorage, AK 99508
(907) 729-8624
2.1 mi
Clinical Social Worker
NPI 1700056975
4175 TUDOR CENTRE DR
Anchorage, AK 99508
(907) 729-8335
✔ PECOS✔ Accepts Medicare2.1 mi
Mental Health Counselor
NPI 1174007280
3700 PIPER ST
Anchorage, AK 99508
(907) 269-6997
✔ PECOS2.1 mi
Chiropractic
NPI 1578374427
4201 TUDOR CENTRE DR
Anchorage, AK 99508
(907) 729-4320
✔ Accepts Medicare2.1 mi
Clinical Psychologist
NPI 1396490405
4441 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-8880
✔ PECOS2.1 mi
Qualified Speech Language Pathologist
NPI 1588182745
4441 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-8880
2.1 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 1699329003. It was assigned to this organization in the NPPES registry on July 25, 2019. The provider is doing business as Sud 1115- Dena A Coy.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 4130 San Ernesto Ave, Anchorage, AK 99508. The listed phone number is (907) 729-5070.

What is Southcentral Foundation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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, 1 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 September 14, 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.