MOBILE MEDICAL VAN
NPI 1831866821
Clinic/Center - Federally Qualified Health Center (FQHC) in Traverse City, MI
About Mobile Medical Van NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOBILE MEDICAL VAN (NPI 1831866821) is a healthcare organization registered as a federally qualified health center (fqhc) in Traverse City, Michigan and active in the NPI registry since August 2021. The organization lists Casey Kandow, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mobile Medical Van is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Mobile Medical Van, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 17 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (18)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Traverse Health Clinic And Coalition's NPI number?
The NPI number for Traverse Health Clinic And Coalition is 1831866821. It was assigned to this organization in the NPPES registry on August 26, 2021. The provider is doing business as Mobile Medical Van. The provider is also known as Traverse Health Clinic and Coalition Mobile Van #1.
Where is Traverse Health Clinic And Coalition located?
Traverse Health Clinic And Coalition is located at 1719 S Garfield Ave, Traverse City, MI 49686. The listed phone number is (231) 935-0799.
What is Traverse Health Clinic And Coalition's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Traverse Health Clinic And Coalition enrolled in Medicare?
Yes. Traverse Health Clinic And Coalition is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Traverse Health Clinic And Coalition?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 4 Medicare specialties reassign their Medicare billing to Traverse Health Clinic And Coalition. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Family Practice (4) and Clinical Social Worker (3). Of these, 9 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Traverse Health Clinic And Coalition was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mobile Medical Van · NPI 1831866821
Federally Qualified Health Center (FQHC) organization in Traverse City, Michigan. Organization record, active in the CMS NPPES registry since August 26, 2021.
## Identity
- **NPI:** 1831866821 (Entity type: Organization)
- **Enumerated:** August 26, 2021
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Traverse Health Clinic And Coalition
- **Also known as:** Traverse Health Clinic and Coalition Mobile Van #1 (Other Name)
- **Organization subpart:** Yes (part of Traverse Health Clinic And Coalition)
- **Authorized official:** Casey Kandow, CEO
## Practice location
- **Address:** 1719 S GARFIELD AVE, Traverse City, MI 49686-4337
- **Phone:** (231) 935-0799 · **Fax:** (231) 935-0962
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Family Practice (4), Clinical Social Worker (3); 9 practice at this address and 17 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1831866821) · Data from the CMS NPPES public registry.