Organization
MOBILE MEDICAL OFFICE
Active
Organization
MOBILE MEDICAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI LYNN CLARK (EXECUTIVE DIRECTOR)
(707) 443-4666
Entity
Organization
Contact information
Practice address
1522 3RD ST, EUREKA, CA 95501-0711
(707) 443-4666
(707) 443-6123
Mailing address
PO BOX 2020, EUREKA, CA 95502-2020
(707) 443-4666
(707) 443-6123
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
110000327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM03931G
—
CA
Enumeration date
02/20/2007
Last updated
07/29/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up