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BH 1115- PEDRO BAY
NPI 1780287920
Community/Behavioral Health in Pedro Bay, AK

Active since November 19, 2020
2516 MOUNTAIN CIRCLE, PEDRO BAY, AK 99647(907) 850-2229 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bh 1115- Pedro Bay NPPES

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

BH 1115- PEDRO BAY (NPI 1780287920) is a healthcare organization registered as a community/behavioral health in Pedro Bay, Alaska and active in the NPI registry since November 2020. The organization lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1780287920
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address2516 MOUNTAIN CIRCLEPedro Bay, AK 99647
Mailing AddressPo Box 35198Seattle, WA 98124-5198
Phone(907) 850-2229
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (907) 729-4939
Enumeration DateNovember 19, 2020
Last NPPES UpdateSeptember 15, 2023
NPPES CertifiedSeptember 15, 2023
✔ NPI 1780287920 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.
2516 MOUNTAIN CIRCLE, Pedro Bay, AK 99647
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Other Names 1

Doing Business AsBh 1115- Pedro Bay

Other Identifiers 1

Medicaid1716559AK

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHCENTRAL FOUNDATION
Dentist (General Practice)
2516 MOUNTAIN CIRCLE
PEDRO BAY, AK 99647
Lake And Peninsula Borough (907) 850-2229
CHELSEA STARR MALSTROM
Community Health Worker
2516 MOUNTAIN CIRCLE
PEDRO BAY, AK 99647
Lake And Peninsula Borough (907) 850-2229
SOUTHCENTRAL FOUNDATION
Clinic/Center (Community Health)
2516 MOUNTAIN CIRCLE
PEDRO BAY, AK 99647
Lake And Peninsula Borough (907) 850-2229

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 1780287920. It was assigned to this organization in the NPPES registry on November 19, 2020. The provider is doing business as Bh 1115- Pedro Bay.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 2516 Mountain Circle, Pedro Bay, AK 99647. The listed phone number is (907) 850-2229.

What is Southcentral Foundation's specialty?

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

When was this NPI record last updated?

The NPPES record for Southcentral Foundation was last updated on September 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.