Provider Demographics
NPI:1821061748
Name:NATIONAL SEATING & MOBILITY INC
Entity Type:Organization
Organization Name:NATIONAL SEATING & MOBILITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER CFO
Authorized Official - Prefix:
Authorized Official - First Name:P
Authorized Official - Middle Name:ROGER
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-595-1115
Mailing Address - Street 1:5959 SHALLOWFORD ROAD
Mailing Address - Street 2:SUITE 443
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37241-2245
Mailing Address - Country:US
Mailing Address - Phone:423-756-2268
Mailing Address - Fax:423-266-9690
Practice Address - Street 1:706B BROADWAY DR
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-6359
Practice Address - Country:US
Practice Address - Phone:601-583-3500
Practice Address - Fax:601-544-0009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS03901111332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00440143Medicaid
MS00440143Medicaid