Provider Demographics
NPI:1114924297
Name:AMERICAN MOBILITY INC
Entity Type:Organization
Organization Name:AMERICAN MOBILITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-876-3600
Mailing Address - Street 1:2851 VAN HURON DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-8416
Mailing Address - Country:US
Mailing Address - Phone:919-876-3600
Mailing Address - Fax:919-876-3677
Practice Address - Street 1:2851 VAN HURON DR
Practice Address - Street 2:SUITE 103
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-8416
Practice Address - Country:US
Practice Address - Phone:919-876-3600
Practice Address - Fax:919-876-3677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-05
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
045JUOtherBLUE CROSS OF BLUE SHIELD
SCDM1097Medicaid
NC7702981Medicaid
NC38494OtherPARTNERS
VA009119922Medicaid
SCDM1097Medicaid
VA009119922Medicaid