Provider Demographics
NPI:1609520659
Name:ON CALL MOBILE URGENT CARE LLC
Entity Type:Organization
Organization Name:ON CALL MOBILE URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:410-726-7416
Mailing Address - Street 1:1147 S SALISBURY BLVD STE 8
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-6865
Mailing Address - Country:US
Mailing Address - Phone:410-936-7445
Mailing Address - Fax:410-304-0677
Practice Address - Street 1:3833 RIDERWOOD DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-2547
Practice Address - Country:US
Practice Address - Phone:410-936-7445
Practice Address - Fax:410-304-0677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty