NPIMap

Organization Active NPI

Mobile Medical Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Silver Spring, MD
National Provider Identifier
1184006447
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MOBILE MEDICAL CARE, INC.
Practice address
3300 Briggs Chaney Rd
Silver Spring, MD 20904-4811
Phone
(301) 493-2400
NPI assigned
Jun 23, 2015
Last updated
Aug 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Yuhanis Saleh
Title
Director of Finance & Admin
Phone
(301) 841-0833

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

3300 Briggs Chaney Rd
Silver Spring, MD 20904-4811

Mailing address

12320 Parklawn Dr
Rockville, MD 20852-1726
Phone (301) 841-0833

Other identifiers 1

IdentifierTypeStateIssuer
423888500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151215001185 DC Part A Provider - Federally Qualified Health Center (FQHC) 5597075754 Practice locations: Silver Spring, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184006447. Details of each certification follow.

Federally qualified health center certification: CCN 211903

Legal name
MOBILE MEDICAL CARE, INC.
Doing business as
MOBILE MED
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 6, 2015
Last certification
Nov 6, 2015
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Dec 17, 1968 in MD
Enrollment address
3300 Briggs Chaney Road
Silver Spring, MD 20904-4811

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2089515Mobile Medical Care3300 Briggs Chaney, Silver Spring, MD 20904Certificate of waiverAug 21, 2026

National Provider Directory

National Provider Directory

Locations

3300 Briggs Chaney Rd
Silver Spring, MD 20904
Phone (301) 847-1172

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Charlotte Jenkins Individual Corporate OfficerExecutive Director Oct 1, 2024
Corporate DirectorExecutive Director Oct 1, 2024
W-2 Managing EmployeeExecutive Director Oct 1, 2024

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mobile Medical Care, Inc.Germantown, MD, CCN 211902 Federally qualified health center Operational/Managerial Control Oct 1, 2024
Mobile Medical Care, Inc.Gaithersburg, MD, CCN 801016 Federally qualified health center Operational/Managerial Control Oct 1, 2024
Mobile Medical Care, Inc.Aspen Hill, MD, CCN 801018 Federally qualified health center Operational/Managerial Control Oct 1, 2024
Mobile Medical Care, Inc.Rockville, MD, CCN 801023 Federally qualified health center Operational/Managerial Control Oct 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1184006447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 PARKLAWN DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521726",
            "telephone_number": "301-841-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BRIGGS CHANEY RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044811",
            "telephone_number": "301-493-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "SALEH",
        "authorized_official_first_name": "YUHANIS",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE & ADMIN",
        "authorized_official_telephone_number": "301-841-0833"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423888500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.