Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southcentral Foundation

Organization Community/Behavioral Health Agency · NPI 1003469719

Southcentral Foundation is a Community/Behavioral Health Agency in Wasilla, Alaska. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Phone: (907) 631-7800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1003469719
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthcentral Foundation
Authorized official Ronald Olson — Executive Vice President Of Finance · (907) 729-4939
Other names Bh 1115- Benteh Nuutah Primary Care Center; Sud/Bh 1115- Vnpcc
NPI enumeratedJuly 22, 2019
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026
Mailing addressPo Box 35198, Seattle, WA 98124-5198

Other providers in Wasilla