# KABO HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain View Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346777505
- **Authorized official:** JONATHAN MARK VANRAVENSWAAY MD (MANAGING MEMBER)
- **Authorized official phone:** (805) 766-1049

## Contact information

- **Practice address:** 3521 MOUNTAIN VIEW DR, ANCHORAGE, AK 99508-1111
- **Practice address phone:** (805) 766-1049
- **Mailing address:** 3521 MOUNTAIN VIEW DR, ANCHORAGE, AK 99508-1111
- **Mailing address phone:** (805) 766-1049
- **Mailing address fax:** (907) 868-1105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 111160 | AK | — |
| 261QU0200X | Urgent Care Clinic/Center | 1048438 | AK | Yes |

## Other

- **Enumeration date:** 05/18/2017
- **Last updated:** 11/10/2023
