Provider Demographics
NPI:1669936951
Name:TRUA HEALTH & WELLNESS
Entity type:Organization
Organization Name:TRUA HEALTH & WELLNESS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:907-802-6500
Mailing Address - Street 1:7999 JEWEL LAKE RD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99502-4251
Mailing Address - Country:US
Mailing Address - Phone:907-802-6500
Mailing Address - Fax:907-268-3830
Practice Address - Street 1:7999 JEWEL LAKE RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99502-4251
Practice Address - Country:US
Practice Address - Phone:907-802-6500
Practice Address - Fax:907-268-3830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-30
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1902311735OtherJULIE KANE
AK1902311735Medicaid
AK1692162Medicaid