NPIMap

Organization Active NPI

Scooter Mall

  • Durable Medical Equipment & Medical Supplies
  • Huntsville, AL
National Provider Identifier
1851516744
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
090187 Issued in AL
Legal business name
SCOOTER MALL
Practice address
2316 Memorial Pkwy NW
Huntsville, AL 35810-4506
Phone
(256) 489-4503
Fax
(256) 489-4506
NPI assigned
Apr 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Randall Scivally
Title
Owner
Phone
(256) 489-4503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 090187 AL Primary

Addresses

Primary practice location

2316 Memorial Pkwy NW
Huntsville, AL 35810-4506

Mailing address

2316 Memorial Pkwy NW
Huntsville, AL 35810-4506
Phone (256) 489-4503

National Provider Directory

National Provider Directory
Tax ID family
Scooter Mall2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2316 Memorial Pkwy NW
Huntsville, AL 35810
Phone (256) 489-4503

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851516744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 MEMORIAL PKWY NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358104506",
            "telephone_number": "256-489-4503",
            "fax_number": "256-489-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 MEMORIAL PKWY NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358104506",
            "telephone_number": "256-489-4503",
            "fax_number": "256-489-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOOTER MALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCIVALLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-489-4503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "090187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.