Organization
JAYHATFIELD MOBILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY F HATFIELD (PRESIDENT)
(620) 429-2636
Entity
Organization
Contact information
Practice address
200 S EAST AVE, COLUMBUS, KS 66725-1955
(620) 429-2636
(620) 429-2997
Mailing address
200 S EAST AVE, P.O. BOX 270, COLUMBUS, KS 66725-1955
(620) 429-2636
(620) 429-2997
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000118392
BLUE CROSS BLUE SHIELD KS
KS
Enumeration date
09/16/2006
Last updated
03/15/2012
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