Southcentral Foundation
NPI 1548628555 · Mental Health Clinic/Center (Including Community Mental Health Center) · Tyonek, AK
Southcentral Foundation is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Tyonek, AK (NPI 1548628555).
Provider details
- NPI number
- 1548628555
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ronald Olson, Vp Finance(907) 729-4939
- License
- 20467 (AK)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 20467 (AK)
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Indian Creek Bsd Clinic
Registry dates
- Enumerated
- 2016-02-04
- Last updated
- 2016-03-15
Frequently asked questions
- What is Southcentral Foundation's NPI number?
- Southcentral Foundation's National Provider Identifier (NPI) is 1548628555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southcentral Foundation?
- Southcentral Foundation is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Southcentral Foundation located?
- Southcentral Foundation's practice location on file with NPPES is 101 Indian Creek Road, Tyonek, AK 99682.
- What is Southcentral Foundation's phone number?
- The practice phone number listed in the NPPES registry for Southcentral Foundation is (907) 583-2461.
- Who is the authorized official for Southcentral Foundation?
- The authorized official listed on Southcentral Foundation's NPPES record is Ronald Olson, Vp Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southcentral Foundation's NPI active?
- Yes — Southcentral Foundation's NPI (1548628555) is active in the NPPES registry as of the last update on 2016-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.