Provider Demographics
NPI:1073668158
Name:MOBILE HEALTH MANAGEMENT, LLC
Entity Type:Organization
Organization Name:MOBILE HEALTH MANAGEMENT, LLC
Other - Org Name:SANTA PAULA HEALTHCARE RURAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-525-6621
Mailing Address - Street 1:590 W MAIN ST
Mailing Address - Street 2:248
Mailing Address - City:SANTA PAULA
Mailing Address - State:CA
Mailing Address - Zip Code:93060-3209
Mailing Address - Country:US
Mailing Address - Phone:805-680-9737
Mailing Address - Fax:805-933-8192
Practice Address - Street 1:220 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SANTA PAULA
Practice Address - State:CA
Practice Address - Zip Code:93060-3247
Practice Address - Country:US
Practice Address - Phone:805-680-9737
Practice Address - Fax:805-933-8192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health