MOBILE HOME SPECIALIST (NPI# 1356769103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356769103 |
| Entity Type | Organization |
| Organization Name | MOBILE HOME SPECIALIST |
| Practice Address |
322 Horseshoe Bend Rd Goldendale WA 98620-3604 |
| Mailing Address |
Po Box 9391 Yakima WA 98909-0391 |
| Practice Telephone | 5099668495 |
| Practice Fax Number | 5092480648 |
| Mailing Telephone | 5099668495 |
| Mailing Fax Number | 5092480648 |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2014-03-30 |
| Authorized Official Name | MR. LEWIS M NOLEN (OWNER) |
| Authorized Official Telephone | 5099668495 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
MOBILHS088MP | WA | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MOBILE HOME SPECIALIST LLC | 322 Horseshoe Bend Rd, Goldendale, WA 98620 |
| System for Award Management (SAM) Entities | MOBILE HOME SPECIALISTS | 17401 Nichols St Ste D, Huntington Beach, CA 92647-8716 |
| Street Address |
322 HORSESHOE BEND RD |
| City | GOLDENDALE |
| State | WA |
| Zip Code | 98620-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497158992 | Tawna L Barck | Physician Assistant | 310 S Roosevelt, Goldendale, WA 98620 | 2014-09-29 |
| 1629404496 | Brittany Pierce | Case Manager/Care Coordinator | 1500 S Columbus Ave, Goldendale, WA 98620 | 2013-09-24 |
| 1235176611 | Amy Tan | Surgery | 310 S Roosevelt St, Goldendale, WA 98620 | 2006-06-02 |
| 1558828467 | Public Hospital District 1 of Klickitat Co | Pharmacy | 310 S Roosevelt, Goldendale, WA 98620 | 2019-02-27 |
| 1316493786 | Justin Knight | Case Manager/Care Coordinator | 112 W Main St, Goldendale, WA 98620 | 2016-08-26 |
| 1932456878 | Shawna Fletcher | Pharmacist | 310 S Roosevelt Ave, Goldendale, WA 98620 | 2012-08-09 |
| 1184845901 | James Tuning | Counselor | 112 W. Main St., Goldendale, WA 98620 | 2007-05-01 |
| 1891916615 | Sunday Sutton | Counselor | 112 W. Main St., Goldendale, WA 98620 | 2007-05-01 |
| 1871714857 | Comprehensive Healthcare | Community/Behavioral Health | 112 W Main St, Goldendale, WA 98620 | 2007-05-01 |
| 1720207830 | Comprehensive Healthcare | Community/Behavioral Health | 112 W Main St, Goldendale, WA 98620 | 2007-04-25 |
| Find all providers in zip 98620 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628011 | Rachel E Whitney | Contractor | 73 Ridgecliff Dr, Richland, WA 99352-9148 | 2019-09-17 |
| 1639647142 | Michael Dean Gostovich | Contractor | 18 Kenny Dr, Yakima, WA 98902-2712 | 2018-11-02 |
| 1194115618 | Ryan Charles Huotari | Contractor | 25115 143rd St Se, Monroe, WA 98272-9579 | 2015-02-04 |
| 1881002616 | David Riensche | Contractor | 30624 62nd Ave Nw, Stanwood, WA 98292-7180 | 2014-07-24 |
| 1881933117 | Timothy Patrick Cowman | Contractor | 4615 E Robin Ct, West Richland, WA 99353-9582 | 2013-02-06 |
| 1780941823 | Duane L Bishop | Contractor | 15619 41st Ave Nw, Gig Harbor, WA 98332-9040 | 2012-04-13 |
| 1336447895 | Gary's Plumbing Inc | Contractor | 3240 E Hwy 101, Port Angeles, WA 98362 | 2011-03-08 |
| 1265604508 | Dale Nilson Ballard | Contractor | 105 E 36th Pl, Kennewick, WA 99337-5760 | 2008-03-27 |
| City | GOLDENDALE |
| Zip Code | 98620 |
Please comment or provide details below to improve the information on MOBILE HOME SPECIALIST.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.