Bsd- Detox

LBN: Southcentral Foundation
Bsd- Detox is an health care organization with primary practice located at 4330 Elmore Rd , Anchorage AK 99508-5907. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, 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) 729-6690, or through Olson, Ronald Lee via phone (907) 729-4949.

Contact Information

Primary practice address
4330 Elmore Rd Anchorage AK 99508-5907
Phone: (907) 729-6690
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Olson, Ronald Lee
Phone: (907) 729-4949

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1255881637
LBN Legal business name Southcentral Foundation
DBA Doing business as Bsd- Detox
Authorized official Olson, Ronald Lee
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 10th, 2016
Last updated Aug 31st, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255881637 NPPES
Alaska MEDICAID 1664351
Alaska MEDICAID 1666501

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