Mobile Nurse Network, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05025 Issued in PA

Legal business name

MOBILE NURSE NETWORK, LLC

Practice address

205 Deerfield Dr
Connellsville, PA 15425-1984

Phone

(724) 620-2848

Fax

(724) 620-2951

NPI assigned

Feb 13, 2006

Organization subpart

No

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

Authorized official

Name

Al Dawson

Title

President

Phone

(724) 620-2848

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669446274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 DEERFIELD DR",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154251984",
            "telephone_number": "724-620-2848",
            "fax_number": "724-620-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 DEERFIELD DR",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154251984",
            "telephone_number": "724-620-2848",
            "fax_number": "724-620-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE NURSE NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-620-2848"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1736072",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Metzger
• Colbie Mickens
• Rebecca Kathryn Mihalko
• Jessie Milliken, DO
• Caden Mitchell, RD
• Natalie Elizabeth Monaco, DDS
• Roxane Mongelluzzo, MSW LCSW
• Monongahela Valley Hospital, Inc.
• Amanda Elisabeth Moore, PA-C
• Lindsay Moore, LCSW, CTP

• Land Ambulance in Connellsville, PA
• Providers in Connellsville, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.