ADVANCED MOBILITY REPAIR (NPI# 1487741617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487741617 |
| Entity Type | Organization |
| Organization Name | ADVANCED MOBILITY REPAIR |
| Practice Address |
21645 Oregon Trl Centralia WA 98531-9617 |
| Mailing Address |
1411 Nw Louisiana Ave Suite 140 Chehalis WA 98532-1749 |
| Practice Telephone | 3602191102 |
| Practice Fax Number | 3602370561 |
| Mailing Telephone | 3602191102 |
| Mailing Fax Number | 3602370561 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | KAZON ROTZ (OWNER) |
| Authorized Official Telephone | 3602191102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 602621899 | WA | Suppliers |
| Street Address |
21645 OREGON TRL |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-9617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164974622 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2428 W Reynolds Ave Ste 146, Centralia, WA 98531-4554 | 2016-11-01 |
| 1710341300 | Compass Birthing Services | Durable Medical Equipment & Medical Supplies | 1728 S Gold St, Centralia, WA 98531-8951 | 2016-04-08 |
| 1689832164 | Mchurt Videotech Inc | Durable Medical Equipment & Medical Supplies | 1601 S Gold St, Centralia, WA 98531-8950 | 2008-05-30 |
| 1063637601 | Alberts Orthotics and Shoe Modifications | Durable Medical Equipment & Medical Supplies | 112 W Railroad St Ste B, Centralia, MO 65240-1380 | 2007-04-17 |
| 1023173697 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 899 E Mccord St, Centralia, IL 62801-3003 | 2006-12-26 |
| 1295838969 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 225 N Poplar St, Centralia, IL 62801-3234 | 2006-09-07 |
| 1477568681 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 225 N Elm St, Centralia, IL 62801-3248 | 2006-07-29 |
| 1578580841 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1212 W Mccord St, Centralia, IL 62801-5648 | 2006-07-16 |
| 1598701187 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 1129 Harrison Ave, Centralia, WA 98531-1852 | 2006-06-21 |
| 1144270265 | Bandys Apothecary Shops Inc | Durable Medical Equipment & Medical Supplies | 817 E Mccord St, Centralia, IL 62801 | 2006-05-11 |
| Find all providers in CENTRALIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.