Provider Demographics
NPI:1588343628
Name:MOBILENETWORK24.COM, LLC
Entity type:Organization
Organization Name:MOBILENETWORK24.COM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:COLLIER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:937-672-0894
Mailing Address - Street 1:PO BOX 13353
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45413-0353
Mailing Address - Country:US
Mailing Address - Phone:937-672-0894
Mailing Address - Fax:
Practice Address - Street 1:2554 NEEDMORE RD # C2
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-4204
Practice Address - Country:US
Practice Address - Phone:937-672-0894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport