Provider Demographics
NPI:1932536638
Name:1ST MOBILITY LLC
Entity Type:Organization
Organization Name:1ST MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:KIEFFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-782-9992
Mailing Address - Street 1:924 WOODFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-4800
Mailing Address - Country:US
Mailing Address - Phone:270-782-9991
Mailing Address - Fax:270-782-0411
Practice Address - Street 1:924 WOODFORD AVE
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-4800
Practice Address - Country:US
Practice Address - Phone:270-782-9991
Practice Address - Fax:270-782-0411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies