Bennett Mobility Products

LBN: Grant D. Bennett
Bennett Mobility Products is an health care organization with primary practice located at 6223 Clark Rd. , Blackshear GA 31516. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Grant D. Bennett can be contacted via phone (912) 807-6625, or through Bennett, Grant D. via phone (912) 614-2269.

Contact Information

Primary practice address
6223 Clark Rd. Blackshear GA 31516
Fax: (912) 807-0212
Website:
Authorized official contact:
Name: Bennett, Grant D.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Georgia

Profile Details

NPI number 1376700401
LBN Legal business name Grant D. Bennett
DBA Doing business as Bennett Mobility Products
Authorized official Bennett, Grant D.
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2008
Last updated Apr 25th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376700401 NPPES
Georgia MEDICAID 003108583A
Georgia MEDICAID 879144878A

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