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General NPI Number Information
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NPI Number | 1063004299
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Entity Type | Organization
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Legal Business Name | MOBILE HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 372 YARMOUTH RD
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City | HYANNIS
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State | MA
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Zip | 02601-2043
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Country | US
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Telephone | 774-521-8909
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Fax |
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Provider Business Mailing Address
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Address Line | 23 MIDDLE POND PATH
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City | MARSTONS MILLS
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State | MA
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Zip | 02648-1432
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Country | US
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Telephone | 774-521-8909
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALEXANDRE THEOHARIDIS
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Credential |
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Telephone | 888-828-9630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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