MOBILE MEDICAL VAN
NPI 1831866821
Clinic/Center - Federally Qualified Health Center (FQHC) in Traverse City, MI

Q: 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.

Q: 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.

Active since August 26, 2021

1719 S GARFIELD AVE, TRAVERSE CITY, MI 49686(231) 935-0799(231) 935-0962 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2023, Aug 17, 2022, Aug 26, 2021 (3 updates tracked since 2021).

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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

NPI1831866821

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameTRAVERSE HEALTH CLINIC AND COALITION

Location Address1719 S GARFIELD AVETraverse City, MI 49686-4337

Mailing Address1719 S Garfield AveTraverse City, MI 49686-4337 · (231) 935-0799 · Fax (231) 935-0962

Phone(231) 935-0799

Fax(231) 935-0962

Organization SubpartYes

Authorized OfficialCasey KandowCeo · (231) 935-0799

Enumeration DateAugust 26, 2021

Last NPPES UpdateJuly 12, 20233 updates tracked since enumeration

NPPES CertifiedJuly 12, 2023

✔ NPI 1831866821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X

1719 S GARFIELD AVE, Traverse City, MI 49686

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Other Names 2

Doing Business AsMobile Medical Van

Other NameTraverse Health Clinic And Coalition Mobile Van #1

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER SILVERS

Community Health Worker