Basic Information
| Provider Information | |||||||||
| NPI: | 1194795146 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UNITED SEATING AND MOBILITY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2070 LITTLE HILLS EXPY | ||||||||
| Address2: | |||||||||
| City: | SAINT CHARLES | ||||||||
| State: | MO | ||||||||
| PostalCode: | 633013708 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3144477500 | ||||||||
| FaxNumber: | 3144477730 | ||||||||
| Practice Location | |||||||||
| Address1: | 50 ANDREW RUSSELL LANE | ||||||||
| Address2: | BUILDING 703 | ||||||||
| City: | FISHERSVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 22939 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5408855599 | ||||||||
| FaxNumber: | 5408857755 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/24/2006 | ||||||||
| LastUpdateDate: | 07/23/2020 | ||||||||
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| AuthorizedOfficialLastName: | RUBIN | ||||||||
| AuthorizedOfficialFirstName: | BILL | ||||||||
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| AuthorizedOfficialTitleorPosition: | CHIEF FINANCIAL OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 3144477512 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 07/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | T018917-7 | VA | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
ID Information
| ID | Type | State | Issuer | Description | 251910864 | 01 | VA | GREAT WEST LIFE & ANNUITY | OTHER | 276581 | 01 | VA | AETNA NATIONAL HMO | OTHER | 436573 | 01 | VA | ANTHEM BCBS OF VA | OTHER | 157947 | 01 | VA | SOUTHERN HEALTH SERVICES | OTHER | 141330100 | 01 | VA | US DEPT. OF LABOR | OTHER | 477100 | 01 | VA | HUMANA CHOICE CARE | OTHER | 7282299 | 01 | VA | AETNA NATIONAL NON-HMO | OTHER | 009106979 | 01 | VA | VA PREMIER HEALTH PLAN | OTHER | 009106979 | 05 | VA | MEDICAID | 52635 | 01 | VA | SENTARA HEALTH MANAGEMENT | OTHER | 9106979 | 01 | VA | UNICARE OF VA | OTHER |