NPIMap

Organization Active NPI

My Mobile Primary Health Care LLC

  • Community Health Clinic/Center
  • Bowie, MD
National Provider Identifier
1215385372
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
R187947 Issued in MD
Legal business name
MY MOBILE PRIMARY HEALTH CARE LLC
Practice address
4201 Northview Dr Ste 410
Bowie, MD 20716-2668
Phone
(202) 681-9661
NPI assigned
May 31, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Stacey Satiago
Title
Manager
Phone
(256) 508-9034

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X R187947 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

4201 Northview Dr Ste 410
Bowie, MD 20716-2668

Mailing address

9215 Traders Xing Apt F
Laurel, MD 20723-1630
Phone (240) 565-8316

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 31, 2016.

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1215385372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9215 TRADERS XING APT F",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231630",
            "telephone_number": "240-565-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 NORTHVIEW DR STE 410",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162668",
            "telephone_number": "202-681-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MOBILE PRIMARY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "SATIAGO",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "256-508-9034"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MD",
            "license": "R187947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.