Sun State Scooter Mobility, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SUN STATE SCOOTER MOBILITY, LLC

Doing business as

Sun State Scooter Mobility

Practice address

595 E Wetmore Rd Ste J-101
Tucson, AZ 85705-1763

Phone

(520) 326-5455

Fax

(520) 326-5566

NPI assigned

Sep 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles Jay Mollenhour

Title

Co-Member

Phone

(520) 326-5455

Specialties & licenses 1

Addresses

Other names 1

• Sun State Scooter Mobility Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114018611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E WETMORE RD STE J-101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051763",
            "telephone_number": "520-326-5455",
            "fax_number": "520-326-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E WETMORE RD STE J-101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051763",
            "telephone_number": "520-326-5455",
            "fax_number": "520-326-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN STATE SCOOTER MOBILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOLLENHOUR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "CO-MEMBER",
        "authorized_official_telephone_number": "520-326-5455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun State Scooter Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.