Bsd-Anpcc Burt

LBN: Southcentral Foundation
Bsd-Anpcc Burt is an health care organization with primary practice located at 4320 Diplomacy Dr Ste 1500 , Anchorage AK 99508-5925. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Southcentral Foundation can be contacted via phone (907) 729-2500, or through Olson, Ronald Lee via phone (907) 729-4939.

Contact Information

Primary practice address
4320 Diplomacy Dr Ste 1500 Anchorage AK 99508-5925
Phone: (907) 729-2500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Olson, Ronald Lee
Phone: (907) 729-4939

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 20467 Alaska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 20467 Alaska

Profile Details

NPI number 1124064894
LBN Legal business name Southcentral Foundation
DBA Doing business as Bsd-Anpcc Burt
Authorized official Olson, Ronald Lee
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 21st, 2006
Last updated Aug 31st, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124064894 NPPES
Alaska MEDICAID 1000855
Alaska MEDICAID 1021095

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