NC MOBILE HEALTH, LLC


Address: 801 County Road Hh, Stevens Point, WI 54481-8415
Phone: 7159521422

NC MOBILE HEALTH, LLC (NPI# 1053794412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053794412
Entity Type Organization
Organization Name NC MOBILE HEALTH, LLC
Other Organization Name REVOLUTION HEALTH
Practice Address 801 County Road Hh
Stevens Point
WI 54481-8415
Practice Telephone 7159521422
Enumeration Date 2015-07-02
Last Update Date 2015-07-02
Authorized Official Name DR. COLTON KAMINSKI (OWNER)
Authorized Official Telephone 7159521422
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
4988-12 WI Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Revolution Health Doing Business As Name - Organization

Office Location

Street Address 801 COUNTY ROAD HH
City STEVENS POINT
State WI
Zip Code 54481-8415

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790309649 County of Portage Clinic/Center 1519 Water Street, Stevens Point, WI 54481 2020-06-05
1700400736 Sarai Sophia Holbrook Speech-Language Pathologist Room 038 Cps, 1901 Fourth Ave., Uw-stevens Point, Stevens Point, WI 54481 2020-06-05
1164994117 Copperleaf Home Health Inc Homemaker 1077 Wilshire Blvd, Stevens Point, WI 54481 2018-12-31
1568980274 Melissa Jean Gutierrez Dental Hygienist 941 Michigan Ave, Stevens Point, WI 54481 2017-09-01
1164946026 Brittany Rose Larocque Chiropractor 3908 Green Ct, Stevens Point, WI 54481 2017-08-01
1245750009 Alyssa Kate Koth Speech-Language Pathologist Rm 038 Cps 1901 Fourth Ave, Unviersity of Wisconsin-stevens Point, Stevens Point, WI 54481 2017-06-22
1881133734 Teri Jean Edlebeck Specialist/Technologist 1017 Williams Street, Stevens Point, WI 54481 2017-02-13
1215475892 Valerie Lynn Fons Dental Hygienist 941 Michigan Avenue, Stevens Point, WI 54481 2017-02-03
1427509439 Tanner Ozanne Chiropractor 2212 Division St, Stevens Point, WI 54481 2016-10-14
1134594765 Dana Fredrickson Registered Nurse 616 Franklin St, Stevens Point, WI 54481 2015-12-08
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City STEVENS POINT
Zip Code 54481

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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