Basic Information
| Provider Information | |||||||||
| NPI: | 1588872832 | ||||||||
| 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: | 7 TALLWOOD DR | ||||||||
| Address2: | STE 9 | ||||||||
| City: | BOW | ||||||||
| State: | NH | ||||||||
| PostalCode: | 033043333 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6032240567 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2007 | ||||||||
| LastUpdateDate: | 11/22/2011 | ||||||||
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| NPIDeactivationDate: | 03/21/2011 | ||||||||
| NPIReactivationDate: | 11/22/2011 | ||||||||
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| AuthorizedOfficialLastName: | SCHWARTZ | ||||||||
| AuthorizedOfficialFirstName: | SANDI | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP / COO | ||||||||
| AuthorizedOfficialTelephone: | 6155951115 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
ID Information
| ID | Type | State | Issuer | Description | 30765109 | 05 | NH | MEDICAID |