Title: Mobile Health Evaluation/Screening Provider Registration
Description: Mobile health evaluation and screening provider means any provider who is transported in a vehicle mounted unit, either motorized or trailered, and readily movable without disassembling, and who regularly provides evaluation and screening services in more than one geographic location.
Minnesota Department of Health (MDH)
Subject: Health Care
Health Care Facilities
Health Care Providers
Creation Date: 9/11/2008 2:15:10 PM
Modification Date: 12/2/2009 3:00:46 PM
Agency Name: Health (MDH), Minnesota Department of
Agency URL: https://www.health.state.mn.us
Agency Description: The Minnesota Department of Health is the state's lead public health agency, responsible for protecting, maintaining and improving the health of all Minnesotans.
Agency Phone: 651-201-5000
Agency Fax: Agency URL: https://www.health.state.mn.us
Agency Address: Health, Minnesota Dept. of
625 Robert St. N.
P.O. Box 64975
Division Name: Health Regulation Division
Division Phone: Division Fax: Division URL:
Unit Name: Licensing and Certification Program
Unit Phone: 651-201-4101
Unit Fax: Contact person(s): email@example.com
P.O. Box 64900
85 East 7th Place, Ste. 300
"Mobile health evaluation and screening provider" means any provider who is transported in a vehicle mounted unit, either motorized or trailered, and readily movable without disassembling, and who regularly provides evaluation and screening services in more than one geographic location.
"Mobile health evaluation and screening provider" does not include any ambulance medical transportation type services or any mobile health service provider affiliated, owned and operated, or under contract with a licensed health care facility or provider, managed care entity licensed under Minn. Stat. Chapters 62D or 62N or Minnesota licensed physician or dentist, nor does it include fixed location providers who transfer or move during the calendar year. All mobile health evaluation and screening providers must be directly supervised by a physician licensed under Minn. Stat. Chapter 147.
Mobile Health Evaluation and Screening Provider Registration Form
Period of Issuance:
Annual. Registration form due by January 15th each year.
Length of Determination:
Activity: Health Care Providers
License Detail URL:
Mobile Health Evaluation/Screening Provider Registration