Provider Demographics
NPI:1043567910
Name:MOBILECARE 2U
Entity Type:Organization
Organization Name:MOBILECARE 2U
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:MAURICE
Authorized Official - Last Name:FRIGON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-647-7925
Mailing Address - Street 1:8500 W 110TH ST
Mailing Address - Street 2:SUITE 450
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1874
Mailing Address - Country:US
Mailing Address - Phone:913-362-1112
Mailing Address - Fax:
Practice Address - Street 1:8500 W 110TH ST
Practice Address - Street 2:SUITE 450
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1874
Practice Address - Country:US
Practice Address - Phone:913-362-1112
Practice Address - Fax:913-362-1118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization