Healthcare Provider Details
I. General information
NPI: 1790364701
Provider Name (Legal Business Name): NATIONAL SEATING & MOBILITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/06/2021
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1417 ORANGE AVE
HELENA MT
59601-0646
US
IV. Provider business mailing address
5959 SHALLOWFORD RD STE 443
CHATTANOOGA TN
37421-2245
US
V. Phone/Fax
- Phone: 406-696-2348
- Fax: 866-372-6938
- Phone: 423-756-2268
- Fax: 423-362-5413
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEFFREY
MATUKEWICZ
Title or Position: SECRETARY
Credential:
Phone: 423-756-2268