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SCOOTER STORE - SHREVEPORT LLC NPI 1578586434


NPI Information

NPI: 1578586434
Provider Name: SCOOTER STORE - SHREVEPORT LLC

Doing Business As: THE SCOOTER STORE/ALLIANCE SEATING AND MOBILITY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
9644 SAINT VINCENT AVE
SHREVEPORT, LA
ZIP 71106
Phone: (318) 865-1564
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SCOOTER STORE - SHREVEPORT LLC is a durable medical equipment medical supplies in Shreveport, LA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SCOOTER STORE - SHREVEPORT LLC NPI is 1578586434. The provider is registered as an organization entity type.
The provider Is Doing Business As The Scooter Store/alliance Seating And Mobility.

The provider's business location address is:

9644 SAINT VINCENT AVE
SHREVEPORT, LA
ZIP 71106-127
Phone: (318) 865-1564

The provider's authorized official is Jason Cone .
The authorized official title is General Counsel & Secretary and has the following contact phone number (830) 627-4433.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 8/9/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentTEXASNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11120006MEDICAIDLOUISIANA
2149016716MEDICAIDARKANSAS
3157486501MEDICAIDTEXAS
4157486503MEDICAIDTEXAS
54286590001MEDICARE NSC
6157486504MEDICAIDTEXAS
7157486502MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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