Provider Demographics
NPI:1952127979
Name:MABUHAY HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:MABUHAY HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEBB
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGUN
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:909-736-0231
Mailing Address - Street 1:PO BOX 211234
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99521-1234
Mailing Address - Country:US
Mailing Address - Phone:909-736-0231
Mailing Address - Fax:833-973-5547
Practice Address - Street 1:8821 PIONEER DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-4256
Practice Address - Country:US
Practice Address - Phone:909-736-0231
Practice Address - Fax:833-973-5547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care