# MY MOBILE PRIMARY HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215385372
- **Authorized official:** STACEY SATIAGO (MANAGER)
- **Authorized official phone:** (256) 508-9034

## Contact information

- **Practice address:** 4201 NORTHVIEW DR STE 410, BOWIE, MD 20716-2668
- **Practice address phone:** (202) 681-9661
- **Mailing address:** 9215 TRADERS XING APT F, LAUREL, MD 20723-1630
- **Mailing address phone:** (240) 565-8316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | R187947 | MD | Yes |

## Other

- **Enumeration date:** 05/31/2016
- **Last updated:** 05/31/2016