Bsd- Fasd Clinic
LBN: Southcentral Foundation
Bsd- Fasd Clinic is an health care organization with primary practice located at 4341 Tudor Centre Dr , Anchorage AK 99508-5904. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty 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
4341 Tudor Centre Dr
Anchorage AK 99508-5904
Phone: (907) 729-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 20467 | Alaska |
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | 20467 | Alaska |
Profile Details
| NPI number | 1255517975 |
|---|---|
| LBN Legal business name | Southcentral Foundation |
| DBA Doing business as | Bsd- Fasd Clinic |
| Authorized official | Olson, Ronald Lee |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 11th, 2008 |
| Last updated | Apr 24th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255517975 | NPPES |
| Alaska | MEDICAID | 1000808 |
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