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Contact Information

MOBILE OUTREACH ALLIANCE
8422 W 78TH CIR
ARVADA, CO80005-4407
 Phone: 303-506-4698
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Hygienist

124Q00000X
 

Dental Public Health

1223D0001X
 

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

NPI Profile & details for MOBILE OUTREACH ALLIANCE

NPI # 1265067425
LBN Legal business name MOBILE OUTREACH ALLIANCE
Authorized official OLGA KOGAN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/09/2020
Last updated 03/09/2020 - About 6 years ago
Identifiers n/a
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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