Provider Demographics
NPI:1285016477
Name:MOBILE MEDICAL CARE, INC.
Entity type:Organization
Organization Name:MOBILE MEDICAL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE & ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:YUHANIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-841-0833
Mailing Address - Street 1:12320 PARKLAWN DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1726
Mailing Address - Country:US
Mailing Address - Phone:301-841-0833
Mailing Address - Fax:
Practice Address - Street 1:3820 ASPEN HILL RD
Practice Address - Street 2:
Practice Address - City:ASPEN HILL
Practice Address - State:MD
Practice Address - Zip Code:20906-2904
Practice Address - Country:US
Practice Address - Phone:301-493-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1184006447Medicaid