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NPI Code Detail

MEDICARE: JO ANN VANOORT C.C.

MEDICARE: JO ANN VANOORT C.C.
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
1171M00000XCase Manager/Care CoordinatorCM 9362AK
2171M00000XCase Manager/Care CoordinatorCM# 9362AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1171M00000XOTHERAKTAXONOMY #

General Provider Information

NPI Number : 1023130655
Entity Type Code : Individual
Provider Name (Legal Business Name) : JO ANN VANOORT C.C.
Provider Business Mailing Address
First Line : 2211 ARCA DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-3462
Country : US
Telephone Number : 907-777-0146
Fax Number :
Provider Business Practice Location Address
First Line : 2211 ARCA DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-3462
Country : US
Telephone Number : 907-777-0146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 07/08/2007

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Directions to “ JO ANN VANOORT C.C.” Practice Location

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