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THE MOBILE MEDICAL OFFICE NPI 1639219298


NPI Information

NPI: 1639219298
Provider Name: THE MOBILE MEDICAL OFFICE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1522 THIRD ST.
EUREKA, CA
ZIP 95501
Phone: (707) 443-4666
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THE MOBILE MEDICAL OFFICE is a family medicine in Eureka, CA. 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. THE MOBILE MEDICAL OFFICE NPI is 1639219298. The provider is registered as an organization entity type.

The provider's business location address is:

1522 THIRD ST.
EUREKA, CA
ZIP 95501-711
Phone: (707) 443-4666
Fax: (707) 443-6123

The provider's authorized official is Sally J. Hewitt .
The authorized official title is Ceo/cfo and has the following contact phone number (707) 443-4666.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 9/30/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QC1500XClinic/CenterCommunity HealthNo
2207Q00000XFamily MedicineG86644CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1RHM03931GMEDICAIDCALIFORNIA
2E44510MEDICARE UPIN
3551981MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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: 4/28/2024

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