| Mobile Medical Group | |
|
1355 Ramar Rd Ste 12 Bullhead City AZ 86442-7100 | |
| (928) 763-9505 | |
| (928) 763-7370 |
| Full Name | Mobile Medical Group |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1355 Ramar Rd Ste 12, Bullhead City, Arizona |
| Authorized Official Name and Position | Kenneth Norris (MANAGING PARTNER) |
| Authorized Official Contact | 8014856166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Medical Group 746 E Winchester St Ste 230b Murray UT 84107-8528 Ph: (801) 456-2333 | Mobile Medical Group 1355 Ramar Rd Ste 12 Bullhead City AZ 86442-7100 Ph: (928) 763-9505 |
| NPI Number | 1811614225 |
|---|---|
| Provider Enumeration Date | 10/26/2022 |
| Last Update Date | 03/10/2023 |
| Medicare PECOS PAC ID | 5991039489 |
|---|---|
| Medicare Enrollment ID | O20230421000891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811614225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Nicholas S Stagg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073917829 PECOS PAC ID: 8426372053 Enrollment ID: I20150130000511 |
| Provider Name | Michelle L Fulp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972782282 PECOS PAC ID: 0244300291 Enrollment ID: I20170403002356 |
| Provider Name | Amy Alvis White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679112106 PECOS PAC ID: 3779995667 Enrollment ID: I20201217001941 |
| Provider Name | Kimberley M Puthoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437755246 PECOS PAC ID: 8426448002 Enrollment ID: I20211214002495 |
| Provider Name | Scott Duane Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376169144 PECOS PAC ID: 6800219510 Enrollment ID: I20230424001889 |
Beneze Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3003 Highway 95, Suite G73, Bullhead City, AZ 86442 Phone: 928-758-7700 Fax: 928-758-5700 | |
Dadra Community Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3706 Highway 95 Ste 101, Bullhead City, AZ 86442 Phone: 928-201-9286 Fax: 928-219-4610 | |
River Cities Community Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 813 Hancock Rd, Suite 2, Bullhead City, AZ 86442 Phone: 928-704-9700 | |
All Wellness Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Canyon Rd Ste A1, Bullhead City, AZ 86442 Phone: 928-704-4499 Fax: 928-704-4949 | |
All Women's Regional Medical Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Canyon Rd, Ste A1, Bullhead City, AZ 86442 Phone: 928-704-4499 Fax: 928-704-4949 | |
Dadra Hospital Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3706 Highway 95 Ste 101, Bullhead City, AZ 86442 Phone: 928-201-9286 Fax: 928-219-4610 | |
Jr Renaissance Health Services, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1957 Hway 95 Ste 23, Bullhead City, AZ 86442 Phone: 928-234-3834 |