| Mobile Medical Office | |
|
1522 3rd St Eureka CA 95501-0711 | |
| (707) 443-4666 | |
| (707) 443-6123 |
| Full Name | Mobile Medical Office |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1522 3rd St, Eureka, California |
| Authorized Official Name and Position | Terri Lynn Clark (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7074434666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Medical Office Po Box 2020 Eureka CA 95502-2020 Ph: (707) 443-4666 | Mobile Medical Office 1522 3rd St Eureka CA 95501-0711 Ph: (707) 443-4666 |
| NPI Number | 1326183054 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 07/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326183054 | NPI | - | NPPES |
| RHM03931G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 110000327 (California) | Primary |
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