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NPI Code Detail

MEDICARE: MOBILE MEDICAL CARE, INC.

MEDICARE: MOBILE MEDICAL CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center
2261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184006447
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOBILE MEDICAL CARE, INC.
Provider Business Mailing Address
First Line : 12320 PARKLAWN DR
Second Line :
City : ROCKVILLE
State : MD
Zip : 20852-1726
Country : US
Telephone Number : 301-841-0833
Fax Number :
Provider Business Practice Location Address
First Line : 3300 BRIGGS CHANEY RD
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-4811
Country : US
Telephone Number : 301-493-2400
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF FINANCE & ADMIN
Name : YUHANIS SALEH
Credential :
Telephone Number : 301-841-0833
Provider Enumeration Date : 06/23/2015
Last Update Date : 08/28/2024

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Directions to “MOBILE MEDICAL CARE, INC. ” Practice Location

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