MOBILE MEDICAL LLC NPI 1366727463

NPI Information

NPI: 1366727463
Provider Name: MOBILE MEDICAL, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
530 N RIDGE RD STE B
WICHITA, KS
ZIP 67212
Phone: (316) 616-1055
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MOBILE MEDICAL, LLC is a family medicine in Wichita, KS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MOBILE MEDICAL, LLC NPI is 1366727463. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

530 N RIDGE RD STE B
WICHITA, KS
ZIP 67212-576
Phone: (316) 616-1055
Fax: (855) 633-0585

The provider's authorized official is Thomas W Essex .
The authorized official title is Owner/physician and has the following contact phone number (316) 616-1055.

The enumeration date for this NPI number is 10/20/2011 and was last updated on 1/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				Yes
2	363LF0000X	Nurse Practitioner	Family	=========	KANSAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201097950A	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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