MEDICARE: TOTAL HEALTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	400558	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	621310	OTHER	AK	PRIMARY ACTIVITY

General Provider Information

NPI Number	:	1881632214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL HEALTH INC

Provider Business Mailing Address
First Line	:	4001 LAKE OTIS PKWY
Second Line	:	SUITE 200
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5211
Country	:	US
Telephone Number	:	907-563-2929
Fax Number	:	907-563-0748

Provider Business Practice Location Address
First Line	:	4001 LAKE OTIS PKWY
Second Line	:	SUITE 200
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5211
Country	:	US
Telephone Number	:	907-563-2929
Fax Number	:	907-563-0748

Authorized Official
Title or Position	:	OWNER
Name	:	RICHARD NEWMAN
Credential	:	D.C.
Telephone Number	:	907-563-2929

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	08/22/2020

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Directions to “TOTAL HEALTH INC ” Practice Location

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