SOUTHCENTRAL FOUNDATION NPI 1164690459

NPI Information

  • NPI: 1164690459
  • Provider Name: SOUTHCENTRAL FOUNDATION
  • Classification: Case Management - 251B00000X
  • Entity Type: Organization
  • Doing Business As: CARE COORDINATION - WAIVER CARE COORDINATION
  • Address: 4160 TUDOR CENTRE DR
    ANCHORAGE, AK
    ZIP 99508
  • Phone: (907) 729-6365

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NPI Details

SOUTHCENTRAL FOUNDATION is a case management in Anchorage, AK. The provider is an organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. SOUTHCENTRAL FOUNDATION NPI is 1164690459. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Care Coordination - Waiver Care Coordination.

The provider's business location address is:

4160 TUDOR CENTRE DR
ANCHORAGE, AK
ZIP 99508-901
Phone: (907) 729-6365

The provider's authorized official is Ronald Lee Olson .
The authorized official title is Executive Vice President Finance and has the following contact phone number (907) 729-4939.

The enumeration date for this NPI number is 2/20/2008 and was last updated on 8/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care Coordinator20467ALASKANo
2251B00000XCase Management20467ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11002717MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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