Tillges Certified Orthotic Prosthetic, Inc. in Maplewood - Prosthetic/orthotic Supplier
Tillges Certified Orthotic Prosthetic, Inc. - NPI 1568428092
Tillges Certified Orthotic Prosthetic, Inc. is a Prosthetic/orthotic Supplier in Maplewood, Minnesota. Tillges Certified Orthotic Prosthetic, Inc. practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Tillges Certified Orthotic Prosthetic, Inc. is 1568428092. The last update date is 2007-07-31.
Tillges Certified Orthotic Prosthetic, Inc.'s current location address is 1570 Beam Ave, Maplewood, Minnesota. You can contact this provider via phone number 6517722665 and fax number 6517716553. The mailing address for Tillges Certified Orthotic Prosthetic, Inc. is 1570 Beam Ave, Maplewood, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tillges Certified Orthotic Prosthetic, Inc. |
|---|---|
| Address | 1570 Beam Ave, Maplewood, Minnesota |
| Phone Number | 6517722665 |
| Fax Number | 6517716553 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER, PRE |
|---|---|
| Authorized Official Name | Tillges James Robert |
| Credentials | CPO |
| Telephone Number | 6517722665 |
NPI Number Detail
| NPI Number | 1568428092 |
|---|---|
| Provider Enumeration Date | 2006-04-24 |
| Last Updated Date | 2007-07-31 |
Provider Mailing Address Detail
| Address | 1570 Beam Ave |
|---|---|
| City | Maplewood |
| State | Minnesota (MN) |
| Post Code | 551091166 |
| Phone Number | 6517722665 |
| Fax Number | 6517716553 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 54075 | ND | NORTH DAKOTA MEDICAID | |
| 2G045TI | MN | BLUECROSS/BLUE SHIELD | |
| 41783200 | WI | WISCONSIN MEDICAID | |
| 1018417 | MN | PREFERRED ONE | |
| 102162 | MN | UCARE | |
| 8200376 | MN | MEDICA | |
| 21446 | MN | HEALTH PARTNERS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tillges Certified Orthotic Prosthetic, Inc. by the Centers for Medicare & Medicaid Services?
The Tillges Certified Orthotic Prosthetic, Inc. has been assigned the NPI (National Provider Identifier) 1568428092 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Tillges Certified Orthotic Prosthetic, Inc.?
The Tillges Certified Orthotic Prosthetic, Inc. is physically situated at 1570 Beam Ave, in the city of Maplewood, state of MN, with the postal code 551091166.
What is Tillges Certified Orthotic Prosthetic, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Tillges Certified Orthotic Prosthetic, Inc.'s area of specialization is Prosthetic/orthotic Supplier, and the corresponding taxonomy code that categorizes this field of practice is 335E00000X.
On what date did the Tillges Certified Orthotic Prosthetic, Inc. receive its 1568428092 assignment from the Centers for Medicare & Medicaid Services?
The Tillges Certified Orthotic Prosthetic, Inc. was assigned its 1568428092 by the Centers for Medicare & Medicaid Services on 2006-04-24.
As of what date was the information regarding Tillges Certified Orthotic Prosthetic, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tillges Certified Orthotic Prosthetic, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-31.