SOUTHCENTRAL FOUNDATION (NPI# 1740788223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740788223 |
| Entity Type | Organization |
| Organization Name | SOUTHCENTRAL FOUNDATION |
| Practice Address |
4341 Tudor Centre Dr Anchorage AK 99508-5904 |
| Mailing Address |
4501 Diplomacy Dr Anchorage AK 99508-5919 |
| Practice Telephone | 9077292500 |
| Mailing Telephone | 9077298624 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |
| Authorized Official Name | RONALD LEE OLSON (VP OF FINANCE) |
| Authorized Official Telephone | 7017294939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| 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 |
| Street Address |
4341 TUDOR CENTRE DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851341416 | Kerry Jae Ozer | Psychiatry & Neurology | 4341 Tudor Centre Dr, Third Floor, Anchorage, AK 99508-5904 | 2006-05-12 |
| 1548826332 | Kayla Knight | Case Manager/Care Coordinator | 4341 Tudor Centre Dr, Anchorage, AK 99508-5904 | 2019-05-16 |
| 1730745696 | Erik Eckberg | Counselor | 4341 Tudor Centre Dr, Anchorage, AK 99508-5904 | 2019-05-16 |
| 1588138275 | Dustin William Allen | Counselor | 4341 Tudor Centre Dr, Anchorage, AK 99508 | 2019-01-15 |
| 1306367669 | Ekaterina Vladimir Kalachevskiy | Counselor | 4341 Tudor Centre Dr, Anchorage, AK 99508-5904 | 2017-06-27 |
| 1730638933 | Jaslyn F Wren | Dental Therapist | 4341 Tudor Centre Dr, Fireweed Dental Building, Anchorage, AK 99508-5904 | 2016-09-28 |
| 1477945400 | Nathon Allan Blackburn | Dentist | 4341 Tudor Centre Dr, Fireweed Dental, Anchorage, AK 99508-5904 | 2015-02-27 |
| 1902162977 | Janece W Richard | Counselor | 4341 Tudor Centre Dr, 3rd Floor, Anchorage, AK 99508-5904 | 2012-04-04 |
| 1508137217 | Lisa M Alexia | Physician Assistant | 4341 Tudor Centre Dr, Anchorage, AK 99508-5904 | 2012-01-26 |
| 1962726364 | Southcentral Foundation Dental Dhat | Clinic/Center | 4341 Tudor Centre Dr, Anchorage, AK 99508-5904 | 2010-03-15 |
| Find all providers in the same location | ||||
| 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 Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710422118 | Eve Elaine Green | Community Health Worker | 4020 Crosson Dr, Anchorage, AK 99517-2455 | 2016-12-21 |
| 1053855676 | Heather Zoller | Community Health Worker | 4601 Reka Dr Unit C16, Anchorage, AK 99508-6017 | 2016-12-16 |
| 1841742616 | Shasta Petersen | Community Health Worker | 2091 Waldron Dr, Anchorage, AK 99507-1343 | 2016-10-27 |
| 1871943795 | Briahnna Jenkins | Community Health Worker | 3110 Brookridge Cir, Anchorage, AK 99504-4181 | 2016-06-22 |
| 1679927461 | Patricia Weiss | Community Health Worker | 1139 Ril Cir, Anchorage, AK 99504-1621 | 2016-04-18 |
| 1629457932 | Julieta Orres | Community Health Worker | 8100 Greenwood St, Anchorage, AK 99518-3318 | 2015-05-20 |
| 1851734206 | Leo Valdez | Community Health Worker | 1701 Greendale Dr, Anchorage, AK 99504-2919 | 2013-04-16 |
| 1659619989 | Gina F. Shooshanian | Community Health Worker | 4031 Lore Rd, #10, Anchorage, AK 99507-3029 | 2013-01-22 |
| 1750632881 | Faavela Saole | Community Health Worker | 1320 Sunrise Dr # 2, Anchorage, AK 99508-3021 | 2012-09-28 |
| 1346525003 | Eloisa Aguilar | Community Health Worker | 9280 Aphrodite Dr, Anchorage, AK 99515-1498 | 2011-10-13 |
| Find all providers in ANCHORAGE | ||||
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| 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.