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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184699209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL SEATING & MOBILITY, INC

Provider Business Mailing Address
First Line	:	5959 SHALLOWFORD ROAD
Second Line	:	SUITE 443
City	:	CHATTANOOGA
State	:	TN
Zip	:	37241-2245
Country	:	US
Telephone Number	:	423-756-2268
Fax Number	:	423-266-9690

Provider Business Practice Location Address
First Line	:	96-1173 WAIHONA ST UNIT A3
Second Line	:
City	:	PEARL CITY
State	:	HI
Zip	:	96782-1931
Country	:	US
Telephone Number	:	808-842-3889
Fax Number	:	808-842-3891

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

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	01/18/2023

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Directions to “NATIONAL SEATING & MOBILITY, INC ” Practice Location

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