Organization Active NPI

Mobilecare

  • Rural Health Clinic/Center
  • Rogers, AR
National Provider Identifier
1730429770
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MOBILECARE
Practice address
1222 W Poplar St
Rogers, AR 72756-4246
Phone
(479) 636-0500
Fax
(479) 636-6161
NPI assigned
Feb 28, 2013
Organization subpart
Yes
Parent organization
SITUS CANCER RESEARCH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Dr. J W Bolt, PHD
Title
Exec Dir
Phone
(479) 636-0500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1222 W Poplar St
Rogers, AR 72756-4246

Mailing address

1222 W Poplar St
Rogers, AR 72756-4246
Phone (479) 636-0500

National Provider Directory

National Provider Directory
Part of
Mobilecare

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1730429770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 W POPLAR ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564246",
            "telephone_number": "479-636-0500",
            "fax_number": "479-636-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 W POPLAR ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564246",
            "telephone_number": "479-636-0500",
            "fax_number": "479-636-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILECARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SITUS CANCER RESEARCH CENTER",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "BOLT",
        "authorized_official_first_name": "J W",
        "authorized_official_title_or_position": "EXEC DIR",
        "authorized_official_telephone_number": "479-636-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.