Organization
SCOOTERS AMERICA LLC
Active
Parent organization
SCOOTERS AMERICA LLC
Other names
American Seating & Mobility
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCOOTERS AMERICA LLC
Authorized official
JEFFREY MATUKEWICZ (SECRETARY)
(423) 756-2268
Entity
Organization
Contact information
Practice address
7525 NE AMBASSADOR PL STE B, PORTLAND, OR 97220-6808
(503) 253-4655
(032) 534-6405
Mailing address
5959 SHALLOWFORD RD STE 443, CHATTANOOGA, TN 37421-2245
(423) 756-2268
(423) 266-9690
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
05
—
0722710
—
IA
05
—
1016432310001
—
PA
05
—
159247716
—
AR
05
—
181416
—
OR
05
—
200414480A
—
KS
01
—
202382
BCBS
MO
05
—
626221808
—
MO
05
—
90013053
—
KY
05
—
OHCA200223
—
OK
Enumeration date
08/13/2006
Last updated
04/14/2021
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