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MOBILE MEDICAL LLC NPI 1366727463


NPI Information

NPI: 1366727463
Provider Name: MOBILE MEDICAL, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 17D2056134

Address:
345 N RIVERVIEW ST STE 500
WICHITA, KS
ZIP 67203
Phone: (316) 616-1055
Get Directions

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 multi-specialty group.

The provider's business location address is:

345 N RIVERVIEW ST STE 500
WICHITA, KS
ZIP 67203-265
Phone: (316) 616-1055
Fax: (855) 633-0585

The provider's authorized official is Chris Mckone .
The authorized official title is Chief Business Development Officer and has the following contact phone number (316) 616-1055.

The CLIA number assigned to this NPI record is 17D2056134 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2011 and was last updated on 9/15/2023.


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
1104100000XSocial WorkerNo
2207QH0002XFamily MedicineHospice and Palliative MedicineNo
3363LF0000XNurse PractitionerFamilyKANSASNo
4363LF0000XNurse PractitionerFamilyNo
5207Q00000XFamily MedicineYes

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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