Provider Demographics
NPI:1578972238
Name:KOOL C.A.T. SCOOTERS USA LLC
Entity Type:Organization
Organization Name:KOOL C.A.T. SCOOTERS USA LLC
Other - Org Name:KOOL C.A.T. SCOOTERS USA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-500-2791
Mailing Address - Street 1:8900 HICKORY HILL DR
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76049-4121
Mailing Address - Country:US
Mailing Address - Phone:682-500-2791
Mailing Address - Fax:
Practice Address - Street 1:8900 HICKORY HILL DR
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76049-4121
Practice Address - Country:US
Practice Address - Phone:682-500-2791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20130001380332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1578972238Medicaid
TX1578972238Medicare PIN
TX1578972238Medicare Oscar/Certification
TX1578972238Medicare UPIN
TX1578972238Medicare NSC