MOBILE MEDICAL OFFICE (NPI# 1326183054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326183054 |
| Entity Type | Organization |
| Organization Name | MOBILE MEDICAL OFFICE |
| Practice Address |
1522 3rd St Eureka CA 95501-0711 |
| Mailing Address |
Po Box 2020 Eureka CA 95502-2020 |
| Practice Telephone | 7074434666 |
| Practice Fax Number | 7074436123 |
| Mailing Telephone | 7074434666 |
| Mailing Fax Number | 7074436123 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2009-07-29 |
| Authorized Official Name | MS. TERRI LYNN CLARK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7074434666 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
110000327 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RHM03931G | 05 |
| Street Address |
1522 3RD ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95501-0711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528318318 | Dale Ward | Case Manager/Care Coordinator | 1522 3rd St, Eureka, CA 95501-0711 | 2012-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
| 1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
| 1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
| Find all providers in zip 95501 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639219298 | The Mobile Medical Office | Clinic/Center | 1522 Third St., Eureka, CA 95501-0711 | 2007-02-06 |
| 1588660104 | United Indian Health Services, Inc. | Clinic/Center | 2332 Harrison Ave, Suite C & D, Eureka, CA 95501-3234 | 2005-06-28 |
| 1831272699 | Six Rivers Planned Parenthood | Clinic/Center | 3225 Timber Fall Ct, Eureka, CA 95503-4892 | 2006-10-23 |
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| 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.