SOUTHCENTRAL FOUNDATION


Address: 3550 Cottonwood St, Anchorage, AK 99508-4352
Phone: 9077292500

SOUTHCENTRAL FOUNDATION (NPI# 1710149661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710149661
Entity Type Organization
Organization Name SOUTHCENTRAL FOUNDATION
Other Organization Name THE PATHWAY HOME COTTONWOOD
Practice Address 3550 Cottonwood St
Anchorage
AK 99508-4352
Mailing Address 4501 Diplomacy Dr
Attn: Provider Enrollment
Anchorage
AK 99508-5919
Practice Telephone 9077292500
Mailing Telephone 9077294955
Enumeration Date 2008-07-01
Last Update Date 2016-01-28
Authorized Official Name RONALD LEE OLSON (VP FINANCE)
Authorized Official Telephone 9077294939
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 323P00000X Psychiatric Residential Treatment Facility 20467 AK Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
The Pathway Home Cottonwood Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407466204 Southcentral Foundation Clinic/Center 11495 N Callison St, Sutton, AK 99674 2020-08-06
1528600947 Southcentral Foundation Clinic/Center 6901 E Tudor Rd Ste 8, Anchorage, AK 99507-1254 2019-10-17
1639722069 Southcentral Foundation Community/Behavioral Health 4175 Tudor Centre Dr, Anchorage, AK 99508-5917 2019-07-24
1659924025 Southcentral Foundation Community/Behavioral Health 4341 Tudor Centre Dr Ste 300, Anchorage, AK 99508-5904 2019-07-24
1720548035 Southcentral Foundation Clinic/Center 4441 Diplomacy Dr Fl 5, Anchorage, AK 99508-5910 2019-03-22
1750854089 Southcentral Foundation Clinic/Center 400 W Benson Blvd, Anchorage, AK 99503-3829 2019-01-09
1639652662 Southcentral Foundation Clinic/Center 26341 Eklutna Village Rd, Chugiak, AK 99567-5148 2018-09-14
1811420391 Southcentral Foundation Clinic/Center 1021 E 3rd Ave, Anchorage, AK 99501-6102 2017-04-11
1043767940 Southcentral Foundation Dentist 11495 N. Callison Street, Sutton, AK 99674 2016-09-08
1689021776 Southcentral Foundation Clinic/Center 755 A St, Anchorage, AK 99501-3625 2016-05-18

Office Location

Street Address 3550 COTTONWOOD ST
City ANCHORAGE
State AK
Zip Code 99508-4352

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366063349 Alexandra L Davis Student in an Organized Health Care Education/Training Program 1202 E 36th Ave, Anchorage, AK 99508 2020-05-01
1366087108 The Salvation Army, A California Corporation Community/Behavioral Health 3600 East 20th Avenue, Anchorage, AK 99508 2019-11-15
1679120349 Kila Gilcart Speech-Language Pathologist 161 Klevin Street #103, Anchorage, AK 99508 2019-08-19
1326692963 Shannon Maillet Behavior Technician 1650 S Bragaw, Anchorage, AK 99508 2019-07-31
1427602044 Frank Harris Lawson Iv Behavior Technician 1650 S. Bragaw, Anchorage, AK 99508 2019-07-31
1104470723 Vivalesi Seforosa Nair Behavior Technician 1650 South Bragaw, Anchorage, AK 99508 2019-07-31
1043864267 The Cozy Chalet Assisted Living Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3707 Mt Blanc Circle, Anchorage, AK 99508 2019-07-25
1942861778 Christine Mary Hoover Registered Nurse Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 2019-06-24
1215594502 Ashley Ongtowasruk Case Manager/Care Coordinator 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 2019-05-22
1659937019 Rayne Johnson Behavior Technician 4000 San Ernesto Blvd, Anchorage, AK 99508 2019-05-11
Find all providers in zip 99508

Taxonomy Information

Taxonomy Code 323P00000X
Grouping Residential Treatment Facilities
Classification Psychiatric Residential Treatment Facility

Taxonomy Definition

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194987370 Southcentral Foundation Psychiatric Residential Treatment Facility 4353 Rendezvous Cir, Anchorage, AK 99504-4219 2008-06-27
1861698623 Southcentral Foundation Psychiatric Residential Treatment Facility 1701 Cleveland Ave, Anchorage, AK 99517-2689 2007-06-26
1437271400 Alaska Children's Services, Inc. Psychiatric Residential Treatment Facility 4600 Abbott Rd, Anchorage, AK 99507 2007-04-03
1356416101 Frontline Residential Treatment Center LLC Psychiatric Residential Treatment Facility 1500 Debarr Circle, Anchorage, AK 99508 2006-11-21
1841364957 Frontlline Residential Treatment Center LLC Psychiatric Residential Treatment Facility 1650 Bragaw St, Anchorage, AK 99508-3435 2006-11-20
1659483113 Providence Health & Services - Washington Psychiatric Residential Treatment Facility 3210 W 62nd Ave, Anchorage, AK 99502 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689749939 Frontline Residential Treatment Center LLC Psychiatric Residential Treatment Facility Mile 2.5 Clark Wolverine Rd, Palmer, AK 99645 2006-11-22

Competitor

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City ANCHORAGE
Zip Code 99508

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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