Provider Demographics
NPI:1326812777
Name:MOBICLINIX LLC
Entity Type:Organization
Organization Name:MOBICLINIX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:AMICK
Authorized Official - Suffix:
Authorized Official - Credentials:RN, LNHA
Authorized Official - Phone:888-315-3845
Mailing Address - Street 1:1999 OLD HIGHWAY 141
Mailing Address - Street 2:
Mailing Address - City:BRONSON
Mailing Address - State:IA
Mailing Address - Zip Code:51007-8069
Mailing Address - Country:US
Mailing Address - Phone:712-454-0648
Mailing Address - Fax:712-248-8720
Practice Address - Street 1:400 SERGEANT SQUARE DR STE 500
Practice Address - Street 2:
Practice Address - City:SERGEANT BLUFF
Practice Address - State:IA
Practice Address - Zip Code:51054-8599
Practice Address - Country:US
Practice Address - Phone:888-315-3845
Practice Address - Fax:712-248-8720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity HealthGroup - Multi-Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies