Provider Demographics
NPI:1992461560
Name:ADVANCED MOBILE CARE
Entity type:Organization
Organization Name:ADVANCED MOBILE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:YARDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-559-2911
Mailing Address - Street 1:1971 S 2660 E
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7114
Mailing Address - Country:US
Mailing Address - Phone:435-559-2911
Mailing Address - Fax:
Practice Address - Street 1:1971 S 2660 E
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7114
Practice Address - Country:US
Practice Address - Phone:435-559-2911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care