Provider Demographics
NPI:1588389183
Name:REUBENS MOBILE HEALTH LLC
Entity type:Organization
Organization Name:REUBENS MOBILE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:RIES
Authorized Official - Last Name:REUBENS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:703-296-6599
Mailing Address - Street 1:50 CITIZENS WAY STE 202-4
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-6020
Mailing Address - Country:US
Mailing Address - Phone:240-444-7811
Mailing Address - Fax:833-471-3105
Practice Address - Street 1:50 CITIZENS WAY STE 202-4
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-6020
Practice Address - Country:US
Practice Address - Phone:240-444-7811
Practice Address - Fax:833-471-3105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-05
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care