Provider Demographics
NPI:1225222508
Name:MOBILITY INDEPENDENT TRANSPORTATION SYSTEMS
Entity Type:Organization
Organization Name:MOBILITY INDEPENDENT TRANSPORTATION SYSTEMS
Other - Org Name:M.I.T.S. CORPORATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-235-5899
Mailing Address - Street 1:11448 N MAIN STREET EXT
Mailing Address - Street 2:
Mailing Address - City:GLEN ROCK
Mailing Address - State:PA
Mailing Address - Zip Code:17327-9421
Mailing Address - Country:US
Mailing Address - Phone:717-235-5899
Mailing Address - Fax:717-277-0418
Practice Address - Street 1:11448 N MAIN STREET EXT
Practice Address - Street 2:
Practice Address - City:GLEN ROCK
Practice Address - State:PA
Practice Address - Zip Code:17327-9421
Practice Address - Country:US
Practice Address - Phone:717-235-5899
Practice Address - Fax:717-277-0418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0861600001Medicare NSC