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

General Provider Information

NPI Number	:	1578822011
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	:	37421-2245
Country	:	US
Telephone Number	:	423-756-2268
Fax Number	:	423-266-9690

Provider Business Practice Location Address
First Line	:	1247 FILER AVE E
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83301-4118
Country	:	US
Telephone Number	:	208-595-2095
Fax Number	:	855-824-4617

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

Provider Enumeration Date	:	05/03/2012
Last Update Date	:	03/11/2016

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