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Organization
THE MOBILE MEDICAL OFFICE
Active
Organization
THE MOBILE MEDICAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SALLY J. HEWITT M.H.A. (CEO/CFO)
(707) 443-4666
Entity
Organization
Contact information
Practice address
1522 THIRD ST., EUREKA, CA 95501-0711
(707) 443-4666
(707) 443-6123
Mailing address
P.O. BOX 2020, EUREKA, CA 95502-2020
(707) 443-4666
(707) 443-6123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G86644
CA
261QC1500X
Community Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM03931G
—
CA
Enumeration date
02/06/2007
Last updated
09/30/2008
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