Bsd- Pathway Home

LBN: Southcentral Foundation
Bsd- Pathway Home is an health care organization with primary practice located at 4000 San Ernesto Ave , Anchorage AK 99508-2874. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Southcentral Foundation can be contacted via phone (907) 729-5020, or through Olson, Ronald Lee via phone (907) 729-4939.

Contact Information

Primary practice address
4000 San Ernesto Ave Anchorage AK 99508-2874
Phone: (907) 729-5020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Olson, Ronald Lee
Phone: (907) 729-4939

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 20467 Alaska

Profile Details

NPI number 1639102882
LBN Legal business name Southcentral Foundation
DBA Doing business as Bsd- Pathway Home
Authorized official Olson, Ronald Lee
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 9th, 2006
Last updated Sep 14th, 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 1639102882 NPPES
Alaska MEDICAID 1000855
Alaska MEDICAID 1021095

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