Provider Demographics
NPI:1245975135
Name:MOBILE URGENT CARE MEDICAL SERVICES PC
Entity type:Organization
Organization Name:MOBILE URGENT CARE MEDICAL SERVICES PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NATIONAL DIRECTOR OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MBONYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-278-0502
Mailing Address - Street 1:685 3RD AVE FL 9
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-4151
Mailing Address - Country:US
Mailing Address - Phone:844-443-6246
Mailing Address - Fax:833-907-2235
Practice Address - Street 1:701 COOPER RD STE 1
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3800
Practice Address - Country:US
Practice Address - Phone:866-349-4230
Practice Address - Fax:877-282-9624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-04
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care