Organization Active NPI

NC Mobile Health, LLC

Doing business as Revolution Health

  • Health Service Clinic/Center
  • Stevens Point, WI
National Provider Identifier
1053794412
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
4988-12 Issued in WI
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.