Mobile Medical Van

LBN: Traverse Health Clinic And Coalition
Mobile Medical Van is an health care organization with primary practice located at 1719 S Garfield Ave , Traverse City MI 49686-4337. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Transportation Services / Non-emergency Medical Transport (VAN). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Traverse Health Clinic And Coalition can be contacted via phone (231) 935-0799, or through Kandow, Casey via phone (231) 935-0799.

Contact Information

Primary practice address
1719 S Garfield Ave Traverse City MI 49686-4337
Phone: (231) 935-0799
Fax: (231) 935-0962
Website:
Map and Directions
Authorized official contact:
Name: Kandow, Casey
Phone: (231) 935-0799

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1831866821
LBN Legal business name Traverse Health Clinic And Coalition
DBA Doing business as Mobile Medical Van
Authorized official Kandow, Casey
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 26th, 2021
Last updated Jul 12th, 2023 - about last year

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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