Organization Active NPI

Manuka Health Clinic, LLC

  • Primary Care Clinic/Center
  • Anchorage, AK
National Provider Identifier
1821304379
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
570 Issued in AK
Legal business name
MANUKA HEALTH CLINIC, LLC
Doing business as
Manuka Health
Practice address
721 Sesame St Ste 1D
Anchorage, AK 99503-6632
Phone
(907) 222-6970
Fax
(888) 768-3890
NPI assigned
Aug 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ginger D Scoggin, DNP, PHD, ANP-CNPI 1992843072
Title
Owner, Practitioner
Phone
(907) 222-6970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 570 AK Primary

Addresses

Primary practice location

721 Sesame St Ste 1D
Anchorage, AK 99503-6632

Mailing address

3705 Arctic Blvd # 420
Anchorage, AK 99503-5774
Phone (907) 222-6970

Other identifiers 1

IdentifierTypeStateIssuer
1570754MedicaidAK

Other names 1

  • Manuka Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101028000073 AK Part B Supplier - Clinic/Group Practice 7315131943 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

721 Sesame St
Ste 1D
Anchorage, AK 99503
Phone (907) 222-6970

3685 Arctic Blvd
Anchorage, AK 99503

3658 Arctic Blvd
Anchorage, AK 99503
Phone (907) 222-6970

3658 Arctic Blvd
Anchorage, AK 99503
Phone (907) 222-6970

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1821304379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 ARCTIC BLVD # 420",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035774",
            "telephone_number": "907-222-6970",
            "fax_number": "888-768-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 SESAME ST STE 1D",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036632",
            "telephone_number": "907-222-6970",
            "fax_number": "888-768-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUKA HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "SCOGGIN",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER, PRACTITIONER",
        "authorized_official_telephone_number": "907-222-6970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PHD, ANP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AK",
            "license": "570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1570754",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manuka Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.