Modern Shoe, Inc. in Provo - Durable Medical Equipment & Medical Supplies
Modern Shoe, Inc. - NPI 1225219587
Modern Shoe, Inc. is a Durable Medical Equipment & Medical Supplies in Provo, Utah. Modern Shoe, Inc. practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Modern Shoe, Inc. is 1225219587. The last update date is 2010-05-28.
Modern Shoe, Inc.'s current location address is 350 W Center St, Provo, Utah. You can contact this provider via phone number 8013752711 and fax number 8013710060. The mailing address for Modern Shoe, Inc. is 350 W Center St, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Modern Shoe, Inc. |
|---|---|
| Address | 350 W Center St, Provo, Utah |
| Phone Number | 8013752711 |
| Fax Number | 8013710060 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Thomas C Anthony |
| Telephone Number | 8013752711 |
NPI Number Detail
| NPI Number | 1225219587 |
|---|---|
| Provider Enumeration Date | 2007-11-15 |
| Last Updated Date | 2010-05-28 |
Provider Mailing Address Detail
| Address | 350 W Center St |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846014323 |
| Phone Number | 8013752711 |
| Fax Number | 8013710060 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
Definition: 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. |
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What is the unique identification code assigned to Modern Shoe, Inc. by the Centers for Medicare & Medicaid Services?
The Modern Shoe, Inc. has been issued the NPI (National Provider Identifier) 1225219587. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Modern Shoe, Inc.'s facilities are geographically located?
The facilities of Modern Shoe, Inc. are physically situated at the following location: 350 W Center St, Provo, UT, 846014323.
What is Modern Shoe, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Modern Shoe, Inc. is Durable Medical Equipment & Medical Supplies, and the taxonomy code that categorizes this field of expertise is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225219587 to Modern Shoe, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1225219587 to Modern Shoe, Inc. on 2007-11-15.
When was the information related to Modern Shoe, Inc. most recently updated or refreshed?
The details pertaining to the Modern Shoe, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2010-05-28.
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