Provider Demographics
NPI:1285668590
Name:ULTIMATE MOBILITY, INC.
Entity Type:Organization
Organization Name:ULTIMATE MOBILITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCULLOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-363-1227
Mailing Address - Street 1:1158 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01603-2011
Mailing Address - Country:US
Mailing Address - Phone:508-363-1227
Mailing Address - Fax:508-363-1228
Practice Address - Street 1:1158 MAIN ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01603-2011
Practice Address - Country:US
Practice Address - Phone:508-363-1227
Practice Address - Fax:508-363-1228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1539086Medicaid
MA98862301OtherNETWORK HEALTH PLAN
MAEVERCAREOther8280484
MA0017588OtherNEIGHBORHOOD HEALTH PLAN
MA390654OtherBCBSMA
MA685813OtherTUFTS HEALTH PLAN
MA42615OtherFALLON COMMUNITY HEALTH
MA1539086Medicaid