Healthcare Provider Details

I. General information

NPI: 1447356332
Provider Name (Legal Business Name): JAYHATFIELD MOBILITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 03/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S EAST AVE
COLUMBUS KS
66725-1955
US

IV. Provider business mailing address

200 S EAST AVE P.O. BOX 270
COLUMBUS KS
66725-1955
US

V. Phone/Fax

Practice location:
  • Phone: 620-429-2636
  • Fax: 620-429-2997
Mailing address:
  • Phone: 620-429-2636
  • Fax: 620-429-2997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JAY F HATFIELD
Title or Position: PRESIDENT
Credential:
Phone: 620-429-2636