Provider Demographics
NPI:1003284936
Name:JVA MOBILITY, INC.
Entity Type:Organization
Organization Name:JVA MOBILITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRES / CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:RENAE
Authorized Official - Middle Name:I
Authorized Official - Last Name:BOCKHOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-404-4198
Mailing Address - Street 1:2700 FALLS AVE
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-5724
Mailing Address - Country:US
Mailing Address - Phone:319-226-3363
Mailing Address - Fax:319-226-3584
Practice Address - Street 1:4701 J ST SW
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404-4911
Practice Address - Country:US
Practice Address - Phone:319-366-3533
Practice Address - Fax:319-366-3652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment