Ye Olde Cobbler in Wilsonville - Customized Equipment
Ye Olde Cobbler - NPI 1700076585
Ye Olde Cobbler is a Customized Equipment in Wilsonville, Oregon. Ye Olde Cobbler practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Ye Olde Cobbler is 1700076585. The last update date is 2008-01-17.
Ye Olde Cobbler's current location address is Po Box 482, Wilsonville, Oregon. You can contact this provider via phone number 5036820354. The mailing address for Ye Olde Cobbler is Po Box 482, Wilsonville, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ye Olde Cobbler |
|---|---|
| Address | Po Box 482, Wilsonville, Oregon |
| Phone Number | 5036820354 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/ OPE |
|---|---|
| Authorized Official Name | Filonczuk A Richard |
| Telephone Number | 5036820354 |
NPI Number Detail
| NPI Number | 1700076585 |
|---|---|
| Provider Enumeration Date | 2007-07-27 |
| Last Updated Date | 2008-01-17 |
Provider Mailing Address Detail
| Address | Po Box 482 |
|---|---|
| City | Wilsonville |
| State | Oregon (OR) |
| Post Code | 970700482 |
| Phone Number | 5036820354 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
|
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 160655 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ye Olde Cobbler by the Centers for Medicare & Medicaid Services?
The Ye Olde Cobbler has been issued the NPI (National Provider Identifier) 1700076585, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Ye Olde Cobbler located?
The Ye Olde Cobbler is located at Po Box 482, Wilsonville, OR 970700482.
What is Ye Olde Cobbler's area of expertise and its corresponding taxonomy classification?
The Ye Olde Cobbler's field of specialization is Customized Equipment, and it falls under the taxonomy code 332Bc3200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700076585 to Ye Olde Cobbler?
The Centers for Medicare & Medicaid Services originally issued the 1700076585 to Ye Olde Cobbler on 2007-07-27.
As of what date was the information regarding Ye Olde Cobbler, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ye Olde Cobbler, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-17.
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