Organization Active NPI

Mobile Occupational Health and Wellness Urgent Care Solutions

  • Occupational Medicine Clinic/Center
  • Greendale, WI
National Provider Identifier
1497282255
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
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

Updated by the provider on May 11, 2017

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.