Southcentral Foundation
Southcentral Foundation is a healthcare organization registered as Mental Illness Community Based Residential Treatment Facility in Anchorage, AK, holding Type 2 (organization) NPI 1639102882 since 2006. The authorized official on file is Ronald Olson, Executive Vice President Finance.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1639102882 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Southcentral Foundation |
| Other name | <Unavail> |
| Parent organization | Southcentral Foundation |
| Practice address | 4000 SAN ERNESTO AVE, Anchorage, AK, 99508 |
| Phone | 9077295020 |
| Enumeration date | 2006-07-09 |
| Last updated in NPPES | 2023-09-14 |
Authorized official
| Name | Ronald Olson |
|---|---|
| Title | Executive Vice President Finance |
| Phone | 9077294939 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 320800000X | Mental Illness Community Based Residential Treatment Facility | Primary | 20467 | AK |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000855 | Medicaid | AK | — |
| 1021095 | Medicaid | AK | — |
Copy-ready billing details
Provider: Southcentral Foundation NPI: 1639102882 Taxonomy: 320800000X (Mental Illness Community Based Residential Treatment Facility) Address: 4000 SAN ERNESTO AVE, Anchorage, AK, 99508
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1912112012 | Jo Ann Bartley | Individual | Psychologist | Anchorage, AK |
| 1710388608 | Zachary Paulson | Individual | Clinical Social Worker | Anchorage, AK |
| 1548646961 | Kenneth Swazer | Individual | Behavior Technician | Anchorage, AK |
| 1760919633 | Brian Cassidy | Individual | Professional Counselor | Anchorage, AK |
| 1942706619 | Kelsey Polty | Individual | Mental Health Counselor | Anchorage, AK |
| 1467017376 | Gregory Geddes | Individual | Community Health Worker | Anchorage, AK |
| 1649835513 | Timothy Volstad | Individual | Behavior Technician | Anchorage, AK |
| 1336704816 | Brandon Fisk | Individual | Recreation Therapist | Anchorage, AK |
Verify this record
Cross-check NPI 1639102882 against the authoritative CMS record: view Southcentral Foundation on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Southcentral Foundation?
Who is the authorized official for Southcentral Foundation?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-09-14.