| Kabo Health Llc | |
|
3521 Mountain View Dr Anchorage AK 99508-1111 | |
| (805) 766-1049 | |
| Not Available |
| Full Name | Kabo Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3521 Mountain View Dr, Anchorage, Alaska |
| Authorized Official Name and Position | Jonathan Mark Vanravenswaay (MANAGING MEMBER) |
| Authorized Official Contact | 8057661049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kabo Health Llc 3521 Mountain View Dr Anchorage AK 99508-1111 Ph: (805) 766-1049 | Kabo Health Llc 3521 Mountain View Dr Anchorage AK 99508-1111 Ph: (805) 766-1049 |
| NPI Number | 1346777505 |
|---|---|
| Provider Enumeration Date | 05/18/2017 |
| Last Update Date | 11/10/2023 |
| Medicare PECOS PAC ID | 5193073542 |
|---|---|
| Medicare Enrollment ID | O20180801003565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346777505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 111160 (Alaska) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | 1048438 (Alaska) | Primary |
| Provider Name | Phillip Mendoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760681761 PECOS PAC ID: 7416081625 Enrollment ID: I20170926002586 |
| Provider Name | Jonathan Mark Vanravenswaay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154768588 PECOS PAC ID: 6608181169 Enrollment ID: I20180802003032 |
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Alaska Family Care Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4001 Dale Street, Suite 210, Anchorage, AK 99508 Phone: 907-929-5888 Fax: 907-929-5882 | |
Daryl M. Mcclendon, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3851 Piper St, Suite U466, Anchorage, AK 99508 Phone: 907-569-1333 Fax: 907-569-1433 | |
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Autonomology, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2925 Debarr Rd Ste 240, Anchorage, AK 99508 Phone: 907-339-4657 | |
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