Mobile Md Holdings Llc

LBN: Mobile Md Holdings Llc
Mobile Md Holdings Llc is an health care organization with primary practice located at 9510 Ormsby Station Road Suite 100B, Louisville KY 40223-4082. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty. Mobile Md Holdings Llc can be contacted via phone (502) 253-4140, or through Cantwell, Donna via phone (502) 253-4140.

Contact Information

Primary practice address
9510 Ormsby Station Road Suite 100B Louisville KY 40223-4082
Phone: (502) 253-4140
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cantwell, Donna
Phone: (502) 253-4140

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 720224 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Kentucky

Profile Details

NPI number 1023187234
LBN Legal business name Mobile Md Holdings Llc
DBA Doing business as
Authorized official Cantwell, Donna
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2006
Last updated Mar 12th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023187234 NPPES
Kentucky MEDICAID 65944530
Kentucky MEDICAID 78904810

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