Organization Active NPI

Mobile Health Solutions Inc

  • Clinic/Center
  • Ormond Beach, FL
National Provider Identifier
1104015650
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MOBILE HEALTH SOLUTIONS INC
Practice address
121 Pine Creek TRL
Ormond Beach, FL 32174-3003
Phone
(386) 566-1733
Fax
(386) 615-6628
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alice M Gerken
Title
President
Phone
(386) 566-1733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

121 Pine Creek TRL
Ormond Beach, FL 32174-3003

Mailing address

121 Pine Creek TRL
Ormond Beach, FL 32174-3003
Phone (386) 566-1733

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1104015650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PINE CREEK TRL",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743003",
            "telephone_number": "386-566-1733",
            "fax_number": "386-615-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PINE CREEK TRL",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743003",
            "telephone_number": "386-566-1733",
            "fax_number": "386-615-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE HEALTH SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "GERKEN",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-566-1733"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.