Provider Demographics
NPI:1811879851
Name:COMPLETE MOBILE HEALTH, LLC
Entity type:Organization
Organization Name:COMPLETE MOBILE HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:NICKI
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-213-6543
Mailing Address - Street 1:4805 S 74TH ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53220-4358
Mailing Address - Country:US
Mailing Address - Phone:414-213-6543
Mailing Address - Fax:888-557-0031
Practice Address - Street 1:4805 S 74TH ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53220-4358
Practice Address - Country:US
Practice Address - Phone:414-213-6543
Practice Address - Fax:888-557-0031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health