Provider Demographics
NPI:1447814546
Name:AEQUITAS MOBILITY SERVICES
Entity type:Organization
Organization Name:AEQUITAS MOBILITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:CUBBERLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-441-5387
Mailing Address - Street 1:4950 W DICKMAN RD STE C1
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49037-7345
Mailing Address - Country:US
Mailing Address - Phone:269-441-5387
Mailing Address - Fax:
Practice Address - Street 1:4950 W DICKMAN RD STE C1
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49037-7345
Practice Address - Country:US
Practice Address - Phone:269-441-5387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-24
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)