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).
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 |
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 Name | Type Code |
---|---|
Revolution Health | Doing Business As Name - Organization |
Street Address |
801 COUNTY ROAD HH |
City | STEVENS POINT |
State | WI |
Zip Code | 54481-8415 |
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 |
Find all providers in zip 54481 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336747781 | Daily Care Telemdicine Inc | Clinic/Center | 323 N Morrison St, Appleton, WI 54911-5404 | 2020-10-16 |
1619589082 | Domanika Morbley | Clinic/Center | 2544 N 11th St, Milwaukee, WI 53206-3127 | 2020-08-18 |
1184234163 | Weber Health Logistics, LLC | Clinic/Center | 333 Front St N, La Crosse, WI 54601-3220 | 2020-08-05 |
1427674860 | Shanice Williams | Clinic/Center | 3950 N 74th St, Milwaukee, WI 53216-1971 | 2020-06-22 |
1639721871 | Shifting Healthcare, LLC | Clinic/Center | 1702 Scheuring Rd, De Pere, WI 54115-9567 | 2019-07-09 |
1699334441 | Mvmt Performance & Rehabilitation | Clinic/Center | 2866 Gentle Hills Dr, De Pere, WI 54115-8157 | 2019-06-06 |
1114379310 | East Meets West Therapeutics Sc | Clinic/Center | 136 N Main St Ste 305, Thiensville, WI 53092-1606 | 2016-07-12 |
1912358128 | Achieve Wellness, LLC | Clinic/Center | 3300 Birch St Ste 1b, Eau Claire, WI 54703-2297 | 2016-06-29 |
1003276841 | Mobile Medical Diagnostic Services LLC | Clinic/Center | 5205 S 13th St, Unit E, Milwaukee, WI 53221-3648 | 2016-03-04 |
1821458811 | Kutaiba Al Ithawi | Clinic/Center | 5205 S 13th St Unit E, Milwaukee, WI 53221-3648 | 2016-03-03 |
Find all providers with the same taxonomy |
City | STEVENS POINT |
Zip Code | 54481 |
Please comment or provide details below to improve the information on NC MOBILE HEALTH, LLC.
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.