Organization
SPECS HEALTHCARE, INC.
Active
Other names
AVIA MOBILITY
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT VOGELSANG (CEO)
(800) 342-1234
Entity
Organization
Contact information
Practice address
690 CORDOVAN DR, ROSEVILLE, CA 95678-6000
(916) 234-3124
Mailing address
690 CORDOVAN DR, ROSEVILLE, CA 95678-6000
(916) 234-3124
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0513060001
NPES
—
01
—
0513060002
NPES
—
05
—
DME00865F7
—
CA
Enumeration date
08/28/2008
Last updated
09/21/2022
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