MEDICARE: NATIONAL SEATING & MOBILITY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710642582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL SEATING & MOBILITY, INC.

Provider Business Mailing Address
First Line	:	5959 SHALLOWFORD RD STE 443
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-2245
Country	:	US
Telephone Number	:	423-756-2268
Fax Number	:

Provider Business Practice Location Address
First Line	:	3082 GULF BREEZE PKWY
Second Line	:
City	:	GULF BREEZE
State	:	FL
Zip	:	32563-3246
Country	:	US
Telephone Number	:	850-934-5217
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	JEFFREY MATUKEWICZ
Credential	:
Telephone Number	:	423-756-2268

Provider Enumeration Date	:	11/05/2021
Last Update Date	:	09/15/2022

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