OrganizationActive
Southcentral Foundation
NPI 1205138294 · Mental Health Clinic/Center (Including Community Mental Health Center) · Wasilla, AK
Provider details
- NPI number
- 1205138294
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Southcentral Foundation
- Organization subpart
- Yes
- Authorized official
- Ronald Olson, Executive Vice President Finance(907) 729-4939
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Phone: (907) 631-7800
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35198
Seattle, WA 98124-5198
Other names (DBA / former)
- Doing business as
- Bsd- Benteh Nuutah Primary Care Center (bnpcc)
- Doing business as
- Bsd- Valley Native Primary Care Center- Vnpcc
Registry dates
- Enumerated
- 2010-11-23
- Last updated
- 2026-06-05
- Certified
- 2026-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.