Mobility Center Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MOBILITY CENTER INC

Doing business as

Amigo Mobility Center

Practice address

6693 Dixie Hwy
Bridgeport, MI 48722-9725

Phone

(989) 777-2060

Fax

(989) 921-5082

NPI assigned

Mar 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jason Hurd

Title

Store Manager

Phone

(989) 777-2060

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AMIGO MOBILITY CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Morden

  • Hearing Instrument Specialist
  • Saginaw, MI
  • NPI 1154674182
  NPD

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1730140930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6693 DIXIE HWY",
            "city": "BRIDGEPORT",
            "state": "MI",
            "postal_code": "487229725",
            "telephone_number": "989-777-2060",
            "fax_number": "989-921-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6693 DIXIE HWY",
            "city": "BRIDGEPORT",
            "state": "MI",
            "postal_code": "487229725",
            "telephone_number": "989-777-2060",
            "fax_number": "989-921-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "HURD",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "STORE MANAGER",
        "authorized_official_telephone_number": "989-777-2060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "873015070",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMIGO MOBILITY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Midmichigan RX Services LLC (Bridgeport Rx Pharmacy)
• Midmichigan RX Services LLC (Bridgeport RX Pharmacy)
• Celeste Grice Miller, MA, LLPC
• Teri Ann Miller
• Suvanna Ann Mirelez
• Ashlee Montgomery
• Zoe Aireanna Morrissette
• Andrea Mosley-Cotton
• Lauren Ashley Nash-Martin
• Amanda Neal, BS, MS

• Customized Equipment (DME) in Bridgeport, MI
• Providers in Bridgeport, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.