Organization Active NPI

Jay Hatfield Mobility, LLC

  • Durable Medical Equipment & Medical Supplies
  • Wichita, KS
National Provider Identifier
1538211982
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JAY HATFIELD MOBILITY, LLC
Practice address
11922 E Kellogg Dr
Wichita, KS 67207-1936
Phone
(316) 260-9250
Fax
(316) 260-9588
NPI assigned
Jan 17, 2007
Last updated
Apr 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Jay F Hatfield
Title
Pres.
Phone
(620) 429-2636

Specialties & licenses 1

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

Addresses

Primary practice location

11922 E Kellogg Dr
Wichita, KS 67207-1936

Mailing address

200 S East Ave
P.O. Box 270
Columbus, KS 66725-1955
Phone (620) 429-2636

Other identifiers 1

IdentifierTypeStateIssuer
0000118392OtherKSBCBS OF KANSAS

National Provider Directory

National Provider Directory

Locations

11922 E Kellogg Dr
Wichita, KS 67207
Phone (316) 260-9250

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1538211982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S EAST AVE",
            "address_2": "P.O. BOX 270",
            "city": "COLUMBUS",
            "state": "KS",
            "postal_code": "667251955",
            "telephone_number": "620-429-2636",
            "fax_number": "620-429-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11922 E KELLOGG DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672071936",
            "telephone_number": "316-260-9250",
            "fax_number": "316-260-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY HATFIELD MOBILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "620-429-2636"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "0000118392",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.