Provider Demographics
NPI:1487653044
Name:AMERICAN MOBILITY PRODUCTS INC
Entity Type:Organization
Organization Name:AMERICAN MOBILITY PRODUCTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:ALDRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-469-1391
Mailing Address - Street 1:124 OLD US 68
Mailing Address - Street 2:
Mailing Address - City:CAMPBELLSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42718-8408
Mailing Address - Country:US
Mailing Address - Phone:270-469-1391
Mailing Address - Fax:270-469-1392
Practice Address - Street 1:124 OLD US 68
Practice Address - Street 2:
Practice Address - City:CAMPBELLSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42718-8408
Practice Address - Country:US
Practice Address - Phone:270-469-1391
Practice Address - Fax:270-469-1392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY4552290002Medicare NSC