ALASKAN MANOR


Address: 1521 W 14th Ave, Anchorage, AK 99501-4929
Phone: 9072721282

ALASKAN MANOR (NPI# 1285806737) 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) 1285806737
Entity Type Organization
Organization Name ALASKAN MANOR
Practice Address 1521 W 14th Ave
Anchorage
AK 99501-4929
Practice Telephone 9072721282
Mailing Telephone 9072721282
Enumeration Date 2008-03-25
Last Update Date 2008-03-25
Authorized Official Name MISS BRENDA R. BONGLO (OWNER/PRESIDENT)
Authorized Official Telephone 9072721282
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
100659 AK Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AK ASST LIVING HOME LICENSE 100659 01

Office Location

Street Address 1521 W 14TH AVE
City ANCHORAGE
State AK
Zip Code 99501-4929

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1740841170 Christina Lynne Arent Cook Registered Nurse 8000 West End Rd, Anchorage, AK 99501 2019-06-26
1033770672 Kathy Eileen Mailelle Behavior Technician 8000 West End Road, Anchorage, AK 99501 2019-06-25
1306312574 Patricia Estella Gould Marriage & Family Therapist 731 N St, Anchorage, AK 99501 2018-10-15
1497235642 Beth Alta Fletcher Specialist 737 W 5th Ave Ste 202, Anchorage, AK 99501 2018-08-17
1699289645 Jae Won Lee Dentist 726 E. 9th Avenue, Anchorage, AK 99501 2017-11-29
1649797796 Seong Guy Hyung Dentist 726 E 9th Avenue, Anchorage, AK 99501 2017-08-29
1871952705 Warren Anderson Massage Therapist 737 West 5th Avenue Suite 202, Anchorage, AK 99501 2016-02-20
1780072603 Epoch - Alaska Limited Liability Company General Practice 3074 Mt. View Drive, Suite 193, Anchorage, AK 99501 2014-12-30
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699332676 Occupational Health Centers of Alaska PC Clinic/Center 4100 Lake Otis Pkwy Ste 100, Anchorage, AK 99508-5230 2019-05-24
1215419361 The Get Well Experience Clinic/Center 6251 Tuttle Pl Ste 102, Anchorage, AK 99507-2099 2018-09-05
1083159164 North Star Acupuncture LLC Clinic/Center 630 E 57th Pl, Anchorage, AK 99518-1305 2016-12-28
1447640560 Golden Friendship Home for Elderly Clinic/Center 9180 Aphrodite Dr, Anchorage, AK 99515-1499 2015-01-27
1942578455 Advance Chiropractic Clinic P.C. Clinic/Center 510 W Tudor Rd # 111, Anchorage, AK 99503-6649 2011-12-12
1265619837 St Lawrence Assisted Living Inc Clinic/Center 9221 Aphrodite Dr, Anchorage, AK 99515-1498 2008-01-26
1295911212 Elenas Place Corporation Clinic/Center 8611 Arctic Blvd # 1, Same, Anchorage, AK 99515-1708 2008-01-22
1801403548 Food for Thought Nutrition LLC Clinic/Center 6043 E 22nd Ave, Anchorage, AK 99504-3211 2020-09-27
1669082392 Mountain View Health Services Clinic/Center 3521 Mountain View Dr, Anchorage, AK 99508-1111 2020-08-07
1770140048 Occupational Health Centers of Alaska PC Clinic/Center 12350 Industry Way Ste 160, Anchorage, AK 99515-4300 2019-05-22
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Competitor

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City ANCHORAGE
Zip Code 99501

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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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