Organization
SCOOTERS AMERICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MATUKEWICZ (SECRETARY)
(423) 756-2268
Entity
Organization
Contact information
Practice address
170 STEWART RD SW, PACIFIC, WA 98047-2108
(253) 896-3535
(866) 822-5201
Mailing address
5959 SHALLOWFORD RD STE 443, CHATTANOOGA, TN 37421-2245
(423) 756-2268
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0221978
WA L AND I
—
05
—
181416
—
OR
01
—
613316800
L&I
OR
05
—
9052929
—
WA
Enumeration date
08/13/2006
Last updated
04/01/2021
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