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ACTIVE MOBILITY INC NPI 1902961568


NPI Information

NPI: 1902961568
Provider Name: ACTIVE MOBILITY, INC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
5508 FORT AVE STE A
LYNCHBURG, VA
ZIP 24502
Phone: (434) 237-8004
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ACTIVE MOBILITY, INC is a customized equipment durable medical equipment medical supplies in Lynchburg, VA. ACTIVE MOBILITY, INC NPI is 1902961568. The provider is registered as an organization entity type.

The provider's business location address is:

5508 FORT AVE STE A
LYNCHBURG, VA
ZIP 24502-326
Phone: (434) 237-8004
Fax: (434) 237-8005

The provider's authorized official is Melvin Dwight Atkinson .
The authorized official title is Owner and has the following contact phone number (434) 237-8004.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentVIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1010157480MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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