MOBILE MEDICAL CARE INC (NPI# 1609994060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609994060 |
| Entity Type | Organization |
| Organization Name | MOBILE MEDICAL CARE INC |
| Practice Address |
210 S Nichols St Nichols SC 29581 |
| Mailing Address |
Po Box 1214 Marion SC 29571 |
| Practice Telephone | 8434235222 |
| Practice Fax Number | 8435261389 |
| Mailing Telephone | 8434235222 |
| Mailing Fax Number | 8435261389 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-10-12 |
| Authorized Official Name | DR. KENNETH P ORBECK (PRESIDENT CEO) |
| Authorized Official Telephone | 8434235222 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0513 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | T00149 | 05 | |
| SC | PTAN | 8835 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780956532 | Mobile Medical Care Inc | Clinic/Center | 9309 Old Georgetown Rd, Bethesda, MD 20814-1620 | 2012-02-08 |
| Street Address |
210 S NICHOLS ST |
| City | NICHOLS |
| State | SC |
| Zip Code | 29581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063787547 | Averitte Burney Pace Jr. | Pharmacist | 116 S Main St, Nichols, SC 29581-0207 | 2012-03-15 |
| 1972904472 | Pamela Ann Hills | Contractor | 403 South Nichols Street, Nichols, SC 29581-0232 | 2014-09-16 |
| 1902947872 | Mobile Medical Care, Inc. | Hospice Care, Community Based | 210 South Nichols Street, Nichols, SC 29581-0392 | 2007-02-12 |
| 1992771463 | Cynthia S Fogle | Nurse Practitioner | 3600 Old Stage Rd, Nichols, SC 29581-4724 | 2006-02-24 |
| 1336790039 | Ernestine Strickland | Technician | 2770 Nichols Hwy N, Nichols, SC 29581-5014 | 2019-09-24 |
| 1225422983 | Palmetto Moon Counseling and Consulting Services | Community/Behavioral Health | 6920 Highway 76, Nichols, SC 29581-5334 | 2015-03-20 |
| 1063937480 | Harley Home Care | Home Health | 136 Aloha Dr, Nichols, SC 29581-7028 | 2017-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396307948 | Crystal Lynn Milner | Home Health Aide | 178 W River Rd, Nichols, NY 13812-2104 | 2019-07-03 |
| 1740849108 | Angel Beebe | Home Health Aide | 521 Red Brush Rd, Nichols, NY 13812-4221 | 2019-06-10 |
| 1295062529 | Jessica Anne Johnston | Specialist/Technologist | 3129 E River Rd, Nichols, NY 13812-3224 | 2009-11-06 |
| 1811148281 | Miriam S Zucker | Pediatrics | 1960 Elder Ave, Nichols, IA 52766-9564 | 2008-10-03 |
| 1447429196 | Sharon Lynn Hammond | Licensed Practical Nurse | 71 Pamela Dr, Nichols, NY 13812-3247 | 2008-02-27 |
| 1033563937 | Rachel Dorsey | Speech-Language Pathologist | 3129 E River Rd, Nichols, NY 13812-3224 | 2016-04-17 |
| 1225461320 | Samantha Shelby Taylor | Speech-Language Pathologist | 3129 E River Rd, Nichols, NY 13812-3224 | 2013-08-13 |
| 1205269222 | Valerie Rose Daly | Speech-Language Pathologist | 3129 E River Rd, Nichols, NY 13812-3224 | 2013-08-13 |
| 1013356070 | Johnston: Speech-language Pathology, Pllc | Early Intervention Provider Agency | 3129 E River Rd, Nichols, NY 13812-3224 | 2013-06-22 |
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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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.