Provider Demographics
NPI:1265064265
Name:HINDS MOBILE MD
Entity type:Organization
Organization Name:HINDS MOBILE MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEANNINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HINDS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-363-7250
Mailing Address - Street 1:8485 E MCDONALD DR # 214
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-6335
Mailing Address - Country:US
Mailing Address - Phone:602-888-6783
Mailing Address - Fax:
Practice Address - Street 1:8485 E MCDONALD DR # 214
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-6335
Practice Address - Country:US
Practice Address - Phone:602-888-6783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center