| Jasdo, Inc. | |
|
73-4330 Keo Keo Street Kailua-kona HI 96745 | |
| (808) 887-6668 | |
| (808) 887-0169 |
| Full Name | Jasdo, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 73-4330 Keo Keo Street, Kailua-kona, Hawaii |
| Authorized Official Name and Position | Jean A Swift (PRESIDENT) |
| Authorized Official Contact | 8088876668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jasdo, Inc. 75-5660 Kopiko St Ste C7-350 Kailua Kona HI 96740-3611 Ph: (808) 887-6668 | Jasdo, Inc. 73-4330 Keo Keo Street Kailua-kona HI 96745 Ph: (808) 887-6668 |
| NPI Number | 1508332610 |
|---|---|
| Provider Enumeration Date | 10/16/2018 |
| Last Update Date | 10/16/2018 |
| Medicare PECOS PAC ID | 1355689944 |
|---|---|
| Medicare Enrollment ID | O20190206000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508332610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jean A Swift |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285757690 PECOS PAC ID: 1951324185 Enrollment ID: I20060113000131 |
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