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Contact Information

MOBILE MD HOLDINGS LLC
9510 ORMSBY STATION ROAD
SUITE 100B
LOUISVILLE, KY40223-4082
 Phone: 502-253-4140
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MOBILE MD HOLDINGS LLC

NPI # 1023187234
LBN Legal business name MOBILE MD HOLDINGS LLC
Authorized official DONNA CANTWELL - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2006
Last updated 03/12/2009 - About 17 years ago
Identifiers
KY License # 720224
KY Medicaid 65944530
KY Medicaid 78904810
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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