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
Last updated
May 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

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

Specialties & licenses 1

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

Addresses

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

National Provider Directory

National Provider Directory

Locations

4201 Northview Dr
Ste 410
Bowie, MD 20716
Phone (240) 206-9413

Practitioners & affiliated clinicians

Practitioners 2

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": "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.