Basic Information
| Provider Information | |||||||||
| NPI: | 1700856952 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UNITED SEATING AND MOBILITY LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | NUMOTION | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2070 LITTLE HILLS EXPY | ||||||||
| Address2: | |||||||||
| City: | SAINT CHARLES | ||||||||
| State: | MO | ||||||||
| PostalCode: | 633013708 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3144477500 | ||||||||
| FaxNumber: | 3144477830 | ||||||||
| Practice Location | |||||||||
| Address1: | 5741 MIDWAY PARK BLVD NE | ||||||||
| Address2: | |||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871095835 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5053386100 | ||||||||
| FaxNumber: | 5053419245 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/23/2006 | ||||||||
| LastUpdateDate: | 02/16/2022 | ||||||||
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| AuthorizedOfficialLastName: | FEITEL | ||||||||
| AuthorizedOfficialFirstName: | TAMAS | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 8602573443 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 02/16/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332BC3200X | N | Suppliers | Durable Medical Equipment & Medical Supplies | Customized Equipment | 332B00000X | 2167906 | NM | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
ID Information
| ID | Type | State | Issuer | Description | 7282299 | 01 | NM | AETNA NATIONAL NON-HMO | OTHER | 201067641 | 01 | NM | PRESBYTERIAN HEALTH PLAN | OTHER | 407038 | 01 | NM | HUMANA CHOICE CARE | OTHER | 141330100 | 01 | NM | US DEPT OF LABOR | OTHER | 24610 | 01 | NM | LOVELACE-CIGNA HEALTHCARE | OTHER | 276581 | 01 | NM | AETNA NATIONAL HMO | OTHER | 689193 | 05 | AZ | MEDICAID | 251910864 | 01 | NM | GREAT WEST LIFE & ANNUITY | OTHER | 689193 | 01 | AZ | ARIZONA ACCESS | OTHER | 00NM00TA02 | 01 | NM | BCBS OF NM | OTHER | 2095879 | 05 | TX | MEDICAID | F2368 | 05 | NM | MEDICAID | 10006343 | 01 | NM | AMERIGROUP | OTHER |