Organization
CHM MOBILE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL M RIVERA (BILLING & CREDENTIALING MANAGER)
(757) 435-8085
Entity
Organization
Contact information
Practice address
713 MAIN ST STE A, SHELBYVILLE, KY 40065-1239
(804) 877-6601
Mailing address
PO BOX 6365, VIRGINIA BEACH, VA 23456-0365
(757) 435-8085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
04/21/2026
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