Provider Demographics
NPI:1780634089
Name:COMMAND MOBILITY
Entity Type:Organization
Organization Name:COMMAND MOBILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRODBECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-349-4254
Mailing Address - Street 1:1281 GEORGIA RD
Mailing Address - Street 2:SUITE 333
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-9275
Mailing Address - Country:US
Mailing Address - Phone:828-349-4254
Mailing Address - Fax:828-349-9633
Practice Address - Street 1:1281 GEORGIA RD
Practice Address - Street 2:SUITE 333
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-9275
Practice Address - Country:US
Practice Address - Phone:828-349-4254
Practice Address - Fax:828-349-9633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC01138332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5634980001Medicare NSC