Organization
COUNTRY MOBILE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA CHAMBERS (CEO)
(650) 823-3014
Entity
Organization
Contact information
Practice address
24511 W JAYNE AVE, COALINGA, CA 93210-9503
(307) 459-1350
Mailing address
110 VEREDA CORDILLERA, GOLETA, CA 93117-5301
(307) 459-1350
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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