| |
721 Sesame St Ste 1d Anchorage AK 99503-6632 | |
(907) 222-6970 | |
(888) 768-3890 |
Full Name | |
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Speciality | Clinic/Center |
Location | 721 Sesame St Ste 1d, Anchorage, Alaska |
Authorized Official Name and Position | Ginger D Scoggin (OWNER, PRACTITIONER) |
Authorized Official Contact | 9072226970 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3705 Arctic Blvd # 420 Anchorage AK 99503-5774 Ph: (907) 222-6970 | 721 Sesame St Ste 1d Anchorage AK 99503-6632 Ph: (907) 222-6970 |
NPI Number | 1821304379 |
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Provider Enumeration Date | 08/23/2010 |
Last Update Date | 05/02/2022 |
Medicare PECOS PAC ID | 7315131943 |
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Medicare Enrollment ID | O20101028000073 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821304379 | NPI | - | NPPES |
1570754 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 570 (Alaska) | Primary |
Provider Name | Ginger D Scoggin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992843072 PECOS PAC ID: 8224222856 Enrollment ID: I20101028000707 |
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