| Mobile Medical Unit 1 | |
|
1233 Edgewater St Nw Salem OR 97304-4049 | |
| (503) 378-7526 | |
| (503) 480-1611 |
| Full Name | Mobile Medical Unit 1 |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1233 Edgewater St Nw, Salem, Oregon |
| Authorized Official Name and Position | Kimberly Leathley (CEO) |
| Authorized Official Contact | 5035885828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Medical Unit 1 681 Center St Ne Salem OR 97301-3722 Ph: (503) 588-5828 | Mobile Medical Unit 1 1233 Edgewater St Nw Salem OR 97304-4049 Ph: (503) 378-7526 |
| NPI Number | 1306753090 |
|---|---|
| Provider Enumeration Date | 08/26/2026 |
| Last Update Date | 08/26/2026 |
| Certification Date | 08/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306753090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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