Provider Demographics
NPI:1114501475
Name:MEDCARE MOBILE, LLC
Entity Type:Organization
Organization Name:MEDCARE MOBILE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:CARLSON
Authorized Official - Last Name:EILAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-246-6100
Mailing Address - Street 1:1804 WILLIAMSON CT STE 207
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8171
Mailing Address - Country:US
Mailing Address - Phone:615-246-6100
Mailing Address - Fax:615-747-2094
Practice Address - Street 1:1804 WILLIAMSON CT STE 207
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8171
Practice Address - Country:US
Practice Address - Phone:615-246-6100
Practice Address - Fax:615-747-2094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care