Provider Demographics
NPI:1639059512
Name:ON POINT MOBILE MED, LLC
Entity type:Organization
Organization Name:ON POINT MOBILE MED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:208-826-1054
Mailing Address - Street 1:3398 W SELTICE WAY UNIT 305
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-6314
Mailing Address - Country:US
Mailing Address - Phone:208-826-1054
Mailing Address - Fax:
Practice Address - Street 1:3398 W SELTICE WAY UNIT 305
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-6314
Practice Address - Country:US
Practice Address - Phone:208-826-1054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care