PRESCOTT MOBILILTY STORE INC (NPI# 1023105186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023105186 |
| Entity Type | Organization |
| Organization Name | PRESCOTT MOBILILTY STORE INC |
| Practice Address |
609 Miller Valley Rd Prescott AZ 86301-2315 |
| Practice Telephone | 9285410120 |
| Practice Fax Number | 9285410122 |
| Mailing Telephone | 9285410120 |
| Mailing Fax Number | 9285410122 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2009-10-15 |
| Authorized Official Name | MS. LINDSAY JANE SHERRARD (OWNER) |
| Authorized Official Telephone | 9285410120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 5200-61900-16 | AZ | Suppliers |
| Street Address |
609 MILLER VALLEY RD |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| 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 |
|---|---|---|---|---|
| 1063869980 | Canyon Mobility Sales and Service | Durable Medical Equipment & Medical Supplies | 695 6th St, Prescott, AZ 86301-2015 | 2016-05-20 |
| 1255736120 | German Dobson Cvs LLC | Durable Medical Equipment & Medical Supplies | 901 Wllow Lake Rd, Prescott, AZ 86301-4617 | 2014-11-04 |
| 1598035875 | Truth Services Pllc | Durable Medical Equipment & Medical Supplies | 3103 Clearwater Dr Ste A, Prescott, AZ 86305-7165 | 2012-01-04 |
| 1073757290 | Unlimited Home Health Center, Inc | Durable Medical Equipment & Medical Supplies | 1050 Spire Dr, Suite F, Prescott, AZ 86305-6748 | 2009-05-01 |
| 1235203191 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 808 Ainsworth Dr Ste 101, Prescott, AZ 86301-1625 | 2006-11-20 |
| 1386716900 | Taylor Enterprises,inc. | Durable Medical Equipment & Medical Supplies | 1841 E State Route 69, Suite 122, Prescott, AZ 86301-5608 | 2006-11-15 |
| 1427133487 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 437 Miller Valley Rd, Prescott, AZ 86301-2900 | 2006-10-26 |
| 1669487906 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 178 E Sheldon St, Prescott, AZ 86301-3114 | 2006-07-29 |
| 1649284498 | Arizona Medical Equipment & Supply LLC | Durable Medical Equipment & Medical Supplies | 3185 Clearwater Dr, Suite A, Prescott, AZ 86305-7119 | 2006-07-28 |
| 1770501116 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3050 North Hwy 69, Prescott, AZ 86301 | 2006-07-17 |
| Find all providers in PRESCOTT | ||||
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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.