Provider Demographics
NPI:1750656344
Name:MOBILE HEALTH CLINICS, LLC
Entity Type:Organization
Organization Name:MOBILE HEALTH CLINICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CONRAD
Authorized Official - Middle Name:F
Authorized Official - Last Name:DOBLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-383-0991
Mailing Address - Street 1:7299 WEST 98TH TERRACE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212
Mailing Address - Country:US
Mailing Address - Phone:913-383-0991
Mailing Address - Fax:913-383-0993
Practice Address - Street 1:7299 W 98TH TER
Practice Address - Street 2:SUITE 130
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2256
Practice Address - Country:US
Practice Address - Phone:913-383-0991
Practice Address - Fax:913-383-0993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care