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Gladstone Mobile Healthcare Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
GLADSTONE MOBILE HEALTHCARE LLC12953026362021-06-05

The organization Gladstone Mobile Healthcare Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1295302636. Registration indicates Gladstone Mobile Healthcare Llc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Urgent Care, ) (All Other Specialties & Provider Types, ) (Clinic/Center Urgent Care, Ambulatory Health Care Facilities) (Clinic/Center, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )

Entity TypeOrganization
Provider OrganizationGLADSTONE MOBILE HEALTHCARE LLC
Practice Office Address2500 W BROADWAY STE 100
LOUISVILLE, KY US
Practice Office Telephone5028889181
Mailing Address2500 W BROADWAY STE 100
LOUISVILLE, KY 402111184 US
Business Telephone5028889181
Authorized OfficialLATRICE ANDERSON, REGISTERED NURS
5028889181
HPT Codes
CodePractice
License No
State
261QU0200X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Urgent Care

All Other Specialties & Provider Types

Clinic/Center Urgent Care
Ambulatory Health Care Facilities
Clinic/Center
363LF0000XAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse PractitionerAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Nurse Practitioner: Family

All Other Specialties & Provider Types

Nurse Practitioner Family
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
193200000X MULTGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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