Basic Information
| Provider Information | |||||||||
| NPI: | 1477526333 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NATIONAL SEATING & MOBILITY, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5959 SHALLOWFORD RD | ||||||||
| Address2: | SUITE 443 | ||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 374212285 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4237562268 | ||||||||
| FaxNumber: | 4232669690 | ||||||||
| Practice Location | |||||||||
| Address1: | 9494 KIRBY DR | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770542521 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137919080 | ||||||||
| FaxNumber: | 7137919084 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/10/2006 | ||||||||
| LastUpdateDate: | 03/02/2016 | ||||||||
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| AuthorizedOfficialLastName: | MATUKEWICZ | ||||||||
| AuthorizedOfficialFirstName: | JEFFREY | ||||||||
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| AuthorizedOfficialTitleorPosition: | SECRETARY | ||||||||
| AuthorizedOfficialTelephone: | 4237562268 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | 0033444 | TX | N | Agencies | Home Health | 332BC3200X | 0033444 | TX | N | Suppliers | Durable Medical Equipment & Medical Supplies | Customized Equipment | 332B00000X | 0033444 | TX | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
ID Information
| ID | Type | State | Issuer | Description | 016241401 | 05 | TX | MEDICAID | 107596201 | 05 | TX | MEDICAID | 001002063 | 01 | TX | TX MDCP - REGION 6 | OTHER | 001015899 | 01 | TX | TX MDCP - REGION 4 | OTHER | 001002045 | 01 | TX | TX MDCP - REGION 3 | OTHER | 016241402 | 05 | TX | MEDICAID | 001015898 | 01 | TX | TX MDCP - REGION 2 | OTHER | 001018658 | 01 | TX | TX MDCP - REGION 5 | OTHER | 016241403 | 05 | TX | MEDICAID | 001015900 | 01 | TX | TX MDCP - REGION 7 | OTHER |