Provider Demographics
NPI:1114091667
Name:WHEELCHAIR WORKS INC
Entity Type:Organization
Organization Name:WHEELCHAIR WORKS INC
Other - Org Name:NUMOTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TAMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:FEITEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-257-3443
Mailing Address - Street 1:1650 TRIBUTE RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4400
Mailing Address - Country:US
Mailing Address - Phone:916-489-3651
Mailing Address - Fax:916-489-1444
Practice Address - Street 1:4211 SE INTERNATIONAL WAY
Practice Address - Street 2:SUITE C
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-8824
Practice Address - Country:US
Practice Address - Phone:503-654-4333
Practice Address - Fax:503-654-8330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
139265OtherDOLI
132662000OtherOWCP
OR226325Medicaid
K1050-01OtherPACIFIC SOURCE
226325OtherNORTH WEST HOME CARE
86091000OtherBCBS FEDERAL
OR86091000OtherREGENCE BCBS OF OREGON
9049388OtherDSHS 1
86091000OtherBCBS FEDERAL
OR226325Medicaid