Provider Demographics
NPI:1861557621
Name:ELECTRIC MOBILITY CORPORATION
Entity type:Organization
Organization Name:ELECTRIC MOBILITY CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:ART
Authorized Official - Middle Name:
Authorized Official - Last Name:REA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-468-1000
Mailing Address - Street 1:591 MANTUA BLVD
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-1016
Mailing Address - Country:US
Mailing Address - Phone:856-468-1000
Mailing Address - Fax:856-415-1796
Practice Address - Street 1:4000 EAGLE POINT CORPORATE DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35240-0001
Practice Address - Country:US
Practice Address - Phone:205-314-5716
Practice Address - Fax:205-314-5728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL718332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0455640003Medicare ID - Type Unspecified
NJ0455640001Medicare ID - Type Unspecified
OH0455640006Medicare ID - Type Unspecified