BH 1115- PEDRO BAY
NPI 1780287920
Community/Behavioral Health in Pedro Bay, AK
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bh 1115- Pedro Bay is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
457Medicare enrollment records show 457 clinicians reassign Medicare billing to Bh 1115- Pedro Bay, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 24
Nearest to this location (20)
See all 457Anchorage, AK 99508
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 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.
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). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southcentral Foundation was last updated on September 15, 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.
# Bh 1115- Pedro Bay · NPI 1780287920
Community/Behavioral Health organization in Pedro Bay, Alaska. Organization record, active in the CMS NPPES registry since November 19, 2020.
## Identity
- **NPI:** 1780287920 (Entity type: Organization)
- **Enumerated:** November 19, 2020
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Legal business name:** Southcentral Foundation
- **Organization subpart:** Yes (part of Southcentral Foundation)
- **Authorized official:** Ronald Olson, EXECUTIVE VICE PRESIDENT FINANCE
## Practice location
- **Address:** 2516 MOUNTAIN CIRCLE, Pedro Bay, AK 99647
- **Phone:** (907) 850-2229
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 457 clinicians in 24 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (95), Mental Health Counselor (50), Family Practice (45); [full list](https://npiprofile.com/npi/1780287920/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2023
- **Other identifiers:** Medicaid 1716559 (AK)
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Source: [NPI Profile](https://npiprofile.com/npi/1780287920) · Data from the CMS NPPES public registry.