Provider Demographics
NPI:1114089919
Name:THE WHEELCHAIR CONNECTION, INC.
Entity Type:Organization
Organization Name:THE WHEELCHAIR CONNECTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:ROYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-292-5224
Mailing Address - Street 1:5671 E FOUNTAIN WAY
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-7813
Mailing Address - Country:US
Mailing Address - Phone:559-292-5224
Mailing Address - Fax:559-291-1867
Practice Address - Street 1:5671 E FOUNTAIN WAY
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-7813
Practice Address - Country:US
Practice Address - Phone:559-292-5224
Practice Address - Fax:559-291-1867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102458332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME02948FMedicaid
CADME02948FMedicaid