MEDICAL MOBILE VAN
NPI 1407463540
Clinic/Center - Federally Qualified Health Center (FQHC) in Reno, NV

NPI Status: Active since September 23, 2020

Contact Information

680 S ROCK BLVD
RENO, NV
ZIP 89502
Phone: (775) 329-6300

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 29D1056910
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 01-19-2027

About MEDICAL MOBILE VAN

This page provides the complete NPI Profile along with additional information for Medical Mobile Van, a primary care provider established in Reno, Nevada operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1407463540 assigned on September 2020. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Medical Mobile Van. The authorized official of this NPI record is Jennifer Wheeler (Cco)

NPI
1407463540
Provider Legal Name
COMMUNITY HEALTH ALLIANCE
Other Organization Name
MEDICAL MOBILE VAN
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
680 S ROCK BLVD RENO, NV 89502
Location Phone
(775) 329-6300
Mailing Address
680 S ROCK BLVD RENO, NV 89502
Mailing Phone
(775) 329-6300
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-23-2020
Last Update Date
01-25-2024
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A primary care provider (PCP) like Medical Mobile Van sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER WHEELER

Authorized Official Title
CCO
Authorized Official Phone
(775) 329-6300

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
29D1056910
Facility Type
Federally Qualified Health Center
Certificate Effective Date
January 20, 2025
Certificate Expiration Date
January 19, 2027
Laboratory Director
MARIA SHACKELTON FERNANDEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Medical Mobile Van to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407463540, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 8 + 6 + 6 + 5 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1407463540.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Dentist
680 S ROCK BLVD
RENO, NV 89502
Dietitian, Registered
680 S ROCK BLVD
RENO, NV 89502
Social Worker (Clinical)
680 S ROCK BLVD
RENO, NV 89502
Dietitian, Registered
680 S ROCK BLVD
RENO, NV 89502
Community Health Worker
680 S ROCK BLVD
RENO, NV 89502
Community Health Worker
680 S ROCK BLVD
RENO, NV 89502
Dietitian, Registered
680 S ROCK BLVD
RENO, NV 89502
Family Medicine
680 S ROCK BLVD
RENO, NV 89502
Registered Nurse
680 S ROCK BLVD
RENO, NV 89502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407463540, enumerated as an "organization" on September 23, 2020.

The provider is located at 680 S ROCK BLVD RENO, NV 89502 and the phone number is (775) 329-6300.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).