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Scooter Store - Philadelphia LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Trainer, PA

NPI 1174545008 · NPPES record last updated Aug 9, 2013

Key facts

NPI
1174545008
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
SCOOTER STORE - PHILADELPHIA LLC
Practice address
2 Nealy Blvd
Unit 6
Trainer, PA 19061-5312
Phone
(610) 459-8084
NPI assigned
Jul 23, 2006
Organization subpart
Yes
Parent organization (as reported)
THE SCOOTER STORE - USA, INC.

Authorized official

Name
Jason Cone Jr.
Title
General Counsel & Secretary
Phone
(830) 627-4433

National Provider Directory

Locations

21 Nealy Blvd
Ste 2102
Trainer, PA 19061
Phone (610) 364-0942

2 Nealy Blvd
Unit 6
Trainer, PA 19061
Phone (610) 364-0942

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

2 Nealy Blvd
Unit 6
Trainer, PA 19061-5312

Mailing address

PO Box 310709
New Braunfels, TX 78131-0709

Other identifiers

IdentifierTypeStateIssuer
1000016758MedicaidDE
001887691 0006MedicaidPA
001887691 0007MedicaidPA

Other names

  • SCOOTER Store/Alliance Seating and Mobility Doing business as

Other providers in Trainer, PA

All providers in Trainer, PA · Durable Medical Equipment & Medical Supplies in Pennsylvania

Sources for this page

Verify at the official NPI Registry.