Med City Mobility, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MED CITY MOBILITY, LLC

Practice address

1200 Eastgate Dr SE
Rochester, MN 55904-5700

Phone

(507) 252-0555

Fax

(507) 535-7591

NPI assigned

Jan 3, 2007

Last updated

Oct 20, 2011By 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. Bob Elwood

Title

Owner

Phone

(507) 252-0555

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1285781450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EASTGATE DR SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559045700",
            "telephone_number": "507-252-0555",
            "fax_number": "507-535-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EASTGATE DR SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559045700",
            "telephone_number": "507-252-0555",
            "fax_number": "507-535-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CITY MOBILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "ELWOOD",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-252-0555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363243100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell T Meagher, DO
• Savannah A Meaike, DPT
• Sinneary Meas, APRN, CRNA
• Madalyn Marie Mechas
• Tayler Laine Mechtel, PA-C
• Med City Psychotherapy LLC
• Med City Transportation LLC
• Med City X-Ray
• Glenn M Medberry, PA-C
• Medcity Community Lactation Center P.L.L.C.

• Customized Equipment (DME) in Rochester, MN
• Providers in Rochester, MN by specialty
• Customized Equipment (DME) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.