C&C MOBILITY - NPI NUMBER 1194984328

Summary

Provider Name: C&C MOBILITY

NPI Number: 1194984328

Clasification: Durable Medical Equipment & Medical Supplies (332B00000X)

Address:
9577 FLETCHERS CHAPEL RD
KING GEORGE, VA
ZIP 22485

Phone Number: (540) 295-6121



Detailed Information

C&C MOBILITY is a durable medical equipment & medical supplies in King George, VA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient�s use in the home and that are usable for an extended period of time. The assigned NPI number for this provider is 1194984328 and is registered as an organization entity type.

The provider's business address is:

9577 FLETCHERS CHAPEL RD
KING GEORGE, VA
ZIP 22485-718
Phone: (540) 295-6121

The provider's authorized official is Greg Candelora .
The authorized official title is President and has the following contact phone number (540) 295-6121.

The enumeration date for this NPI number is 6/3/2008 and was last updated on 6/3/2008.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 332B00000X Durable Medical Equipment & Medical Supplies 2428 VA Yes

NPI Record

No. Field Name Field Value
1 NPI 1194984328
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name C&C MOBILITY
5 Provider First Line Business Practice Location Address 9577 FLETCHERS CHAPEL RD
6 Provider Business Practice Location Address City Name KING GEORGE
7 Provider Business Practice Location Address State Name VA
8 Provider Business Practice Location Address Postal Code 224856718
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 5402956121
11 Provider Enumeration Date 6/3/2008
12 Last Update Date 6/3/2008
13 Authorized Official Last Name CANDELORA
14 Authorized Official First Name GREG
15 Authorized Official Title or Position PRESIDENT
16 Authorized Official Telephone Number 5402956121
17 Healthcare Provider Taxonomy Code 1 332B00000X
18 Provider License Number 1 2428
19 Provider License Number State Code 1 VA
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Organization Subpart N
22 Authorized Official Name Prefix Text MR.

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.