MEDICARE: AMERICAN 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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	045JU	OTHER		BLUE CROSS OF BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	38494	OTHER	NC	PARTNERS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114924297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN MOBILITY INC

Provider Business Mailing Address
First Line	:	2851 VAN HURON DR
Second Line	:	SUITE 103
City	:	RALEIGH
State	:	NC
Zip	:	27615-8416
Country	:	US
Telephone Number	:	919-876-3600
Fax Number	:	919-876-3677

Provider Business Practice Location Address
First Line	:	2851 VAN HURON DR
Second Line	:	SUITE 103
City	:	RALEIGH
State	:	NC
Zip	:	27615-8416
Country	:	US
Telephone Number	:	919-876-3600
Fax Number	:	919-876-3677

Authorized Official
Title or Position	:	OWNER
Name	:	WILLIAM RYAN
Credential	:
Telephone Number	:	919-876-3600

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	12/11/2017

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Directions to “AMERICAN MOBILITY INC ” Practice Location

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