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BH 1115- PORT ALSWORTH
NPI 1902409337
Community/Behavioral Health in Port Alsworth, AK

Active since November 18, 2020
1 FLIGHT LINE RD, PORT ALSWORTH, AK 99653(907) 781-2256 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bh 1115- Port Alsworth NPPES

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

BH 1115- PORT ALSWORTH (NPI 1902409337) is a healthcare organization registered as a community/behavioral health in Port Alsworth, 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

NPI1902409337
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address1 FLIGHT LINE RDPort Alsworth, AK 99653-9801
Mailing AddressPo Box 35198Seattle, WA 98124-5198
Phone(907) 781-2256
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (907) 729-4939
Enumeration DateNovember 18, 2020
Last NPPES UpdateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
✔ NPI 1902409337 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.
1 FLIGHT LINE RD, Port Alsworth, AK 99653
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Other Names 1

Doing Business AsBh 1115- Port Alsworth

Other Identifiers 1

Medicaid1716567AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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
Clinic/Center (Dental)
1 FLIGHT LINE RD
PORT ALSWORTH, AK 99653
Lake And Peninsula Borough (907) 781-2256
LISA KAY STIMPSON FNP
Nurse Practitioner (Family)
1 FLIGHT LINE RD
PORT ALSWORTH, AK 99653
Lake And Peninsula Borough (907) 781-2256
SOUTHCENTRAL FOUNDATION
Clinic/Center (Community Health)
1 FLIGHT LINE RD
PORT ALSWORTH, AK 99653
Lake And Peninsula Borough (907) 781-2256

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 1902409337. It was assigned to this organization in the NPPES registry on November 18, 2020. The provider is doing business as Bh 1115- Port Alsworth.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 1 Flight Line Rd, Port Alsworth, AK 99653. The listed phone number is (907) 781-2256.

What is Southcentral Foundation's specialty?

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

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 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.