Med City Mobility, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MED CITY MOBILITY, LLC

Practice address

627 4TH St NW
Faribault, MN 55021-2307

Phone

(507) 334-2602

Fax

(507) 334-7574

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert Elwood

Title

Owner

Phone

(507) 252-0555

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Reliable Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Austin, MN
  • NPI 1710538152

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1841347291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 4TH ST NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212307",
            "telephone_number": "507-334-2602",
            "fax_number": "507-334-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 4TH ST NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212307",
            "telephone_number": "507-334-2602",
            "fax_number": "507-334-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CITY MOBILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "ELWOOD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-252-0555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363243100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Grace McCarthy-Almlie
• Erin McDowell
• Debra Mary McGuire Lang, PA-C
• Tim McNelis
• Brittney Mead
• Tawnya J Meier, MD
• Ricardo Josue Mendoza Gonzalez, CPRSS
• Mariana Mendoza
• Mercy Family Therapy LLC
• Charlotte Meyer, OTR/L

• Durable Medical Equipment & Medical Supplies in Faribault, MN
• Providers in Faribault, MN by specialty
• Durable Medical Equipment & Medical Supplies 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.