| Manuka Health | |
|
721 Sesame St Ste 1d Anchorage AK 99503-6632 | |
| (907) 222-6970 | |
| (888) 768-3890 |
| Full Name | Manuka Health |
|---|---|
| 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 |
|---|---|
| Manuka Health 3705 Arctic Blvd # 420 Anchorage AK 99503-5774 Ph: (907) 222-6970 | Manuka Health 721 Sesame St Ste 1d Anchorage AK 99503-6632 Ph: (907) 222-6970 |
| NPI Number | 1821304379 |
|---|---|
| Provider Enumeration Date | 08/23/2010 |
| Last Update Date | 05/02/2022 |
| Medicare PECOS PAC ID | 7315131943 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992843072 PECOS PAC ID: 8224222856 Enrollment ID: I20101028000707 |
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