Provider Demographics
NPI:1598800690
Name:WHEELCHAIR SALES AND SERVICE CO., INC.
Entity type:Organization
Organization Name:WHEELCHAIR SALES AND SERVICE CO., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PITTSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-736-0376
Mailing Address - Street 1:315 MAIN STREET
Mailing Address - Street 2:P.O. BOX 515
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01090
Mailing Address - Country:US
Mailing Address - Phone:413-736-0376
Mailing Address - Fax:413-736-0377
Practice Address - Street 1:315 MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-3908
Practice Address - Country:US
Practice Address - Phone:413-736-0376
Practice Address - Fax:413-736-0377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA328354OtherBC BS OF MASSACHUSETTS
MA1534815Medicaid
MA328354OtherBC BS OF MASSACHUSETTS