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	332B00000X	Durable Medical Equipment & Medical Supplies	03917	MS

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

General Provider Information

NPI Number	:	1497728315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL SEATING & MOBILITY INC

Provider Business Mailing Address
First Line	:	5959 SHALLOWFORD RD
Second Line	:	SUITE 443
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-2285
Country	:	US
Telephone Number	:	423-756-2268
Fax Number	:	423-266-9690

Provider Business Practice Location Address
First Line	:	3429 WASHINGTON AVE
Second Line	:
City	:	GULFPORT
State	:	MS
Zip	:	39507-3039
Country	:	US
Telephone Number	:	228-868-9544
Fax Number	:	228-868-9558

Authorized Official
Title or Position	:	CFO
Name	:	TIM MADDOX
Credential	:
Telephone Number	:	423-756-2268

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	06/25/2015

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