Active NPI
NC Mobile Health, LLC
Doing business as Revolution Health
- Health Service Clinic/Center
- Stevens Point, WI
National Provider Identifier
1053794412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 4988-12
- Legal business name
- NC MOBILE HEALTH, LLC
- Doing business as
- Revolution Health
- Practice address
- 801 County Road HH
Stevens Point, WI 54481-8415 - Phone
- (715) 952-1422
- NPI assigned
- Jul 2, 2015
- Last updated
- Jul 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Colton Kaminski, D.C.
- Title
- Owner
- Phone
- (715) 952-1422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 4988-12 | WI | Primary |
Addresses
Primary practice location
801 County Road HH
Stevens Point, WI 54481-8415
Mailing address
801 County Road HH
Stevens Point, WI 54481-8415
Other names 1
- Revolution Health
National Provider Directory
National Provider DirectoryLocations
801 County Road HH
Stevens Point, WI 54481
Phone (715) 952-1422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435795200000",
"number": "1053794412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 COUNTY ROAD HH",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544818415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 COUNTY ROAD HH",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544818415",
"telephone_number": "715-952-1422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NC MOBILE HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-02",
"last_updated": "2015-07-02",
"status": "A",
"authorized_official_last_name": "KAMINSKI",
"authorized_official_first_name": "COLTON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "715-952-1422",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "WI",
"license": "4988-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Revolution Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stevens Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.