Organization
PROGRESSIVE MOBILITY & MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SCOTT MATTHEWS (PRESIDENT MANAGER)
(724) 228-4568
Entity
Organization
Contact information
Practice address
320 CAMERON RD, WASHINGTON, PA 15301
(724) 228-4568
(724) 228-7090
Mailing address
320 CAMERON RD, WASHINGTON, PA 15301
(724) 228-4568
(724) 228-7090
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000200948
BLUE CROSS BLUE SHIELD
PA
05
—
0227149000
—
WV
05
—
1016201840001
—
PA
Enumeration date
05/24/2006
Last updated
01/08/2016
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