Healthcare Provider Details

I. General information

NPI: 1407767221
Provider Name (Legal Business Name): HUDSON MOBILE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 E MAIN ST UNIT A
SALISBURY MD
21801-4923
US

IV. Provider business mailing address

208 E MAIN ST UNIT A
SALISBURY MD
21801-4923
US

V. Phone/Fax

Practice location:
  • Phone: 443-359-4972
  • Fax: 443-582-0400
Mailing address:
  • Phone: 443-359-4972
  • Fax: 443-582-0400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: EMYLEE COOPER
Title or Position: OWNER
Credential:
Phone: 302-344-7138