Provider Demographics
NPI:1003879610
Name:FERGUSON AUTO SALES, INC.
Entity Type:Organization
Organization Name:FERGUSON AUTO SALES, INC.
Other - Org Name:MOUNTAIN ADAPTIVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:STAMEY
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-670-1111
Mailing Address - Street 1:35 DOGWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2208
Mailing Address - Country:US
Mailing Address - Phone:828-670-1111
Mailing Address - Fax:828-670-1181
Practice Address - Street 1:35 DOGWOOD RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2208
Practice Address - Country:US
Practice Address - Phone:828-670-1111
Practice Address - Fax:828-670-1181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7701433Medicaid
NC0778170001Medicare ID - Type Unspecified