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General NPI Number Information
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NPI Number | 1952246423
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Entity Type | Organization
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Legal Business Name | COUNTRY MOBILE HEALTH
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 24511 W JAYNE AVE
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City | COALINGA
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State | CA
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Zip | 93210-9503
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Country | US
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Telephone | 307-459-1350
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Fax |
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Provider Business Mailing Address
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Address Line | 110 VEREDA CORDILLERA
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City | GOLETA
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State | CA
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Zip | 93117-5301
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Country | US
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Telephone | 307-459-1350
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANITA CHAMBERS
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Credential |
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Telephone | 650-823-3014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology 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 | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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