SUD 1115- DETOX
NPI 1750934188
Community/Behavioral Health in Anchorage, AK

Q: What is Southcentral Foundation's NPI number?

The NPI number for Southcentral Foundation is 1750934188. It was assigned to this organization in the NPPES registry on July 24, 2019. The provider is doing business as Sud 1115- Detox.

Q: What is Southcentral Foundation's specialty?

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

Active since July 24, 2019

4330 ELMORE RD, ANCHORAGE, AK 99508(907) 729-6690 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2019, Jul 24, 2019 (2 updates tracked since 2019).

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About Sud 1115- Detox NPPES

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

SUD 1115- DETOX (NPI 1750934188) 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

NPI1750934188

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSOUTHCENTRAL FOUNDATION

Location Address4330 ELMORE RDAnchorage, AK 99508-5907

Mailing AddressPo Box 35198Seattle, WA 98124-5198

Phone(907) 729-6690

Organization SubpartYes

Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (907) 729-4939

Enumeration DateJuly 24, 2019

Last NPPES UpdateSeptember 14, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2023

✔ NPI 1750934188 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.

4330 ELMORE RD, Anchorage, AK 99508

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Other Names 1

Doing Business AsSud 1115- Detox

Other Identifiers 1

Medicaid1696899AK

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.

JOANNE ANDERSON

Registered Nurse (Addiction (Substance Use Disorder))