Active NPI
Mobile Occupational Health and Wellness Urgent Care Solutions
- Occupational Medicine Clinic/Center
- Greendale, WI
National Provider Identifier
1497282255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- Legal business name
- MOBILE OCCUPATIONAL HEALTH AND WELLNESS URGENT CARE SOLUTIONS
- Practice address
- 5055 S 84TH St
Greendale, WI 53129-1006 - Phone
- (817) 344-9379
- NPI assigned
- May 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Kevin Engstrand, OWNER
- Title
- Ceo
- Phone
- (817) 344-9379
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corporate Health Clinic/Center | 261QC1800X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Urgent Care Clinic/Center | 261QU0200X | |||
| Occupational Medicine Clinic/Center | 261QX0100X | Primary |
Addresses
Primary practice location
5055 S 84TH St
Greendale, WI 53129-1006
Mailing address
1723 Creekhaven Dr
Duncanville, TX 75137-3901
Phone (817) 344-9379
Other names 1
- M.O.H.U.C.S
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494460800000",
"number": "1497282255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1723 CREEKHAVEN DR",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751373901",
"telephone_number": "817-344-9379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5055 S 84TH ST",
"city": "GREENDALE",
"state": "WI",
"postal_code": "531291006",
"telephone_number": "817-344-9379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE OCCUPATIONAL HEALTH AND WELLNESS URGENT CARE SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A",
"authorized_official_last_name": "ENGSTRAND",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "KEVIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "817-344-9379",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "261QC1800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Corporate Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "M.O.H.U.C.S",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Greendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.