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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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