Provider Demographics
NPI:1821487307
Name:COLUMBUS MOBILITY SPECIALISTS INC
Entity Type:Organization
Organization Name:COLUMBUS MOBILITY SPECIALISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:GRASSETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-825-8996
Mailing Address - Street 1:6330 PROPRIETORS RD STE C
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-3296
Mailing Address - Country:US
Mailing Address - Phone:614-825-8996
Mailing Address - Fax:
Practice Address - Street 1:6330 PROPRIETORS RD STE C
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-3296
Practice Address - Country:US
Practice Address - Phone:614-825-8996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2281052Medicaid